Description

Syngle et al identified factors associated with autonomic neuropathy in a patient with rheumatoid arthritis. The authors are from Cardio Rheuma and Healing Touch Clinic, Fortis Multispecialty Hospital and Punjabi University in India.


Patient selection: rheumatoid arthritis (RA)

 

Autonomic dysfunction in RA may involve both the parasympathetic and sympathetic systems.

 

Manifestations:

(1) sudomotor

(2) cardiovascular (heart rate and blood pressure)

 

Predictors of autonomic dysfunction:

(1) greater disease activity (by DAS28)

(2) elevated ESR

(3) elevated pro-inflammatory cytokines (TNF-alpha, IL-6)


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