ISSN: 2642-6145
Authors: Husarchuk A* and Ilashchuk T
Introduction: In recent years, the method of daily ECG monitoring, which plays an important role in the presence of painless myocardial ischemia in patients with RA, has been widely used to detect patients with rheumatoid arthritis (RA) in a timely manner. Method and Materials: A system of three modified leads was used for daily (Holter) ECG monitoring (HM ECG). ECG monitoring was performed for 24 hours, the dynamics of heart rate (HR), the number of episodes of pain (AMI) and painless ischemia (BMI), their duration, changes in ectopic activity were assessed. An episode of ischemia was considered to be ST depression in the horizontal and oblique type ST≥1 mm, which was determined at a distance of 0.06 s from the J point andlasted more than 60 s. Results: In patients with RA and ischemic heart disease (IHD), 24-hour ECG monitoring, compared with patients with IHD alone, revealed more serious changes, such as sinus tachycardia, extrasystole, paroxysmal tachycardia, ischemic changes in the ST segment and T wave. The most pronounced ECG changes during daily monitoring, it was noted in RA III degree of activity. According to 24-hour ECG monitoring, rhythm disturbances (sinus tachycardia, extrasystole, paroxysmal tachycardia) are more often diagnosed in patients with RA for more than 5 years. Changes in the T wave and ST segment are more characteristic of RA patients with a disease duration of more than 10 years. Conclusion: Thus, HM ECG revealed a significant association between an increase in cardiac arrhythmias and an increase in RA activity.
Keywords: Cardiac Rhythm; Holter Monitoring; Ischemic Heart Disease; Variability Of Cardiac Rhythm; Rheumatoid Arthritis
