AB0242 Effect of Rheumatoid Factor on Arterial Stiffness in General Population without Joint Symptoms. (10th June 2014)

• Record Type: Journal Article
• Authors: Kim, G.-T.; Park, E.-K.; Lee, S.-G.; Baek, S.-H.; Kim, S.-H.; Lee, J.-H.; Lee, J.-W.
• Is Part Of: Annals of the rheumatic diseases. Volume 73:Supplement 2(2014)
• Page Start: 883
• Page End: 883
• Publication Date: 2014-06-10
• Subjects: Rheumatism -- Periodicals; 616.723005
• DOI: 10.1136/annrheumdis-2014-eular.2930
• Languages: English
• ISSNs: 0003-4967

Abstract

Abstract : Background: Rheumatoid factor (RF) has been suggested as an independent risk factor for ischemic heart disease in the general population by some studies, but the role of RF on arterial stiffness and cardiovascular risk in the subjects without joint symptoms is not defined. Objectives: We investigated the arterial stiffness in the subjects without joint symptom using pulse wave velocity (PWV), calculated Framingham risk score (FRS), which is used to estimate the cardiovascular risk, and analyzed whether arterial stiffness and FRS were affected by RF. Methods: 242 subjects (164 men, 78 women, 51.2±8.9 years) were included in this population-based study. RF was quantified using turbid immunometry (Advia 1800, Siemens) with cut-off >15 IU/ml for positive values. Information obtained on joint symptoms. Brachial ankle PWV (baPWV) was measured with an automated device. Adjusted comparison of baPWV in RF-positive and RF-negative subjects was performed. Results: Of 242 subjects, 15 had positive RF. RF-positive subjects without joint symptoms had higher baPWV than RF-negative subjects (1472.6±251.0/1408.6±226.1 cm/s, p=0.293), and higher FRS (16.2±10.2/11.9±9.7), but both figures did not reach the statistical significance. However, when we divided the subjects into 2 groups (group A – high RF, ≥40, group B – low RF, <40), group A showed significantly higher baPWV and higher FRS (1640.7±179.6/1405.7±225.7 cm/s, p=0.007, 25.7±4.87/11.8±9.6, p = <0.001). Multiple regression analysis was used to adjust for any potential confounding influences including age, total cholesterol, LDL cholesterol, and RF exhibited significant effect on baPWV (adjusted R=0.038, p=0.030). Conclusions: In general population without joint symptoms, higher RF was associated with increased arterial stiffness, suggesting a pathophysiologic link between RF and endothelial dysfunction. References: Tomasson G, Aspelund T, Jonsson T, et al. The effect of rheumatoid factor on mortality and coronary heart disease. Ann Rheum Dis 2010;69(9):1649-54 Del Rincon ID, Williams K, Stern MP, et al. High incidence of cardiovascular events in a rheumatoid arthritis cohort not explained by traditional cardiac risk factors. Arthritis Rheum 2001;44(12):2737-45 Disclosure of Interest: None declared DOI: 10.1136/annrheumdis-2014-eular.2930