Preview

Current Pediatrics

Advanced search

COMPARATIVE ANALYSIS OF ENDOTHELIAL FUNCTION AND ELASTICCHARACTERISTICS OF THE ARTERIES IN CHILDREN WITH JUVENILE IDIOPATHIC AND REACTIVE ARTHRITIS

https://doi.org/10.15690/vsp.v13i2.983

Abstract

Aim: to estimate function of the endothelium and arterial elastic characteristics in children with various manifestations of juvenile
idiopathic (JIA) and reactive arthritis (ReA) and possible use of studied indicators for early and differential diagnostics. Patients and methods: in cross sectional study we analyzed arterial stiffness (SIngl) and endothelial function of 36 patients with JIA, 32 — with ReA and 23 healthy children with help of the pulse contour analysis. Results: children with JIA had significantly higher SIngl values (p = 0,0095) than patients with ReA and healthy children. SIngl of children with JIA positively correlated with disease activity (rs = 0,33; p = 0,048) and did not depend on duration of disease (rs = 0,025; p = 0,89). Children with JIA had significantly lower endothelialdependent vasodilatation function in comparison with healthy children (p = 0,026), but not with patients with ReA (p = 0,598). Conclusions: arterial stiffness in children with JIA significantly differs from indicators of patients with ReA and healthy children already at early stages of the disease and can be used as additional diagnostic criterion.

About the Authors

V. L. Мarchuk
Omsk State Medical Academy
Russian Federation
Varvara Marchuk, graduate student


N. V. Sobotuyk
Omsk State Medical Academy
Russian Federation


References

1. Alekseyeva Ye. I., Litvitskiy P. F. Yuvenil'nyy revmatoidnyy artrit: etiologiya, patogenez, klinika, algoritmy diagnostiki i lecheniya [Juvenile Rheumatoid Arthritis: Etiology, Pathogenesis, Clinical Findings, Algorithms of Diagnostics and Treatment]. М. 2007. 368 p.

2. Tanasescu C., Jurcut С., Jurcut R., Ginghina C. Vascular disease in rheumatoid arthritis: From subclinical lesions to cardiovascular risk. Eur. J. Intern. Med. 2009; 20 (4): 348–354.

3. Ozbalkan Z., Efe C., Cesur M., Ertek S., Nasiroglu N., Berneis K., Rizzo M. An update on the relationships between rheumatoid arthritis and atherosclerosis. Atherosclerosis. 2010; 212 (2): 377–382.

4. Hannawi S., Marwick T. H., Thomas R. Inflammation predicts accelerated brachial arterial wall changes in patients with recentonset rheumatoid arthritis. Arthritis Res. Ther. 2009; 11 (2): 51.

5. Pal'guyeva A.Yu., Litvyakov A. M. Vestnik Vitebskogo gosudarstven nogo meditsinskogo universiteta — Bulletin of Vitebsk State Medical University. 2010; 9 (3): 55–65.

6. Prokhorov Ye. V., Sinyachenko O. V., Orlova A. K. Zdorov’ye rebenka — Child Health. 2011; 5: 81–85.

7. Boichak M., Spas'ka H. Changes of the endothelial function and cardiac valves in patients with reactive arthritis. Lik. Sprava. 2010; 7–8: 57–60.

8. Gunarathne A., Patel J. V., Kausar S., Gammon B., Hughes E. A., Lip G. Y. Glycemic status underlies increased arterial stiffness and impaired endothelial function in migrant South Asianstroke survivors compared to European Caucasians: patho physiological insights from the West Birmingham Stroke Project. Stroke. 2009; 40 (7): 2298–2303.

9. Chowienczyk P. J., Kelly R. P., MacCallum H., Millasseau S. C., Andersson T. L., Gosling R. G., Ritter J. M., Anggard E. E. Photo plethysmo graphic assessment of pulse wave reflection: blunted response to endothelium-dependent beta2-adrenergic vasodilation in type II diabetes mellitus. J. Am. Coll. Cardiol. 1999; 34 (7): 2007–2014.

10. Semenkin A. A., Novikov A. I., Protskiy I. A., Novikov Yu. A., Zhisilova L. A., Nazarov A. G., Radul Ye. V., Romanov A. A. Terapevticheskii Arkhiv — Therapeutic Archive. 2007; 79 (9): 54–59.

11. Rebrova O.Yu. Statisticheskiy analiz meditsinskikh dannykh. Primeneniye paketa prikladnoy programmy STATISTICA [Statistical Analysis of Medical Data. Application of a Package of STATISTICA Application Software]. М.: MediaSfera. 2002. 312 p.

12. Oleynikov V. E., Matrosova I. B., Borisocheva N. V. Kardiologiya — Cardiology. 2009; 49 (1): 59–64.

13. Lebedev P. A., Kalakutskiy L. I., Vlasova S. P., Gorlov A. P. Diagnos - tika funktsii sosudistogo endoteliya u bolnykh s serdechno-sosudistymi zabolevaniyami. Metodicheskiye ukazaniya [Diagnostics of a Vascular Endothelium Function at Patients With Cardiovascular Diseases. Methodical Instructions]. Samara: SamGAU. 2004. 18 p.

14. Rebrov A. P., Inamova O. V. Terapevticheskii Arkhiv — Therapeutic Archive. 2004; 5: 79–85.


Review

For citations:


Мarchuk V.L., Sobotuyk N.V. COMPARATIVE ANALYSIS OF ENDOTHELIAL FUNCTION AND ELASTICCHARACTERISTICS OF THE ARTERIES IN CHILDREN WITH JUVENILE IDIOPATHIC AND REACTIVE ARTHRITIS. Current Pediatrics. 2014;13(2):124-128. (In Russ.) https://doi.org/10.15690/vsp.v13i2.983

Views: 709


ISSN 1682-5527 (Print)
ISSN 1682-5535 (Online)