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Ventricular Arrhythmia With Cessation of Infliximab in a Patient With Ankylosing Spondylitis

Year 2015, Volume: 68 Issue: 2, 77 - 79, 14.10.2015
https://izlik.org/JA45RT62ZY

Abstract

Infliximab is an anti-tumor necrosis factor alpha agent, which is indicated for the treatment of resistant ankylosing spondylitis (AS). We presented a patient with AS who developed ventricular tachycardia after premature cessation of infliximab. Ventricular tachycardia did not recur after restarting of infliximab treatment. This case report remarked the significance of the suppression of inflammation in AS since the subclinical ventricular involvement may potentially lead to the fatal arrhythmias.

Ethical Statement

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Supporting Institution

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Thanks

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References

  • 1. Papagoras C, Voulgari PV, Drosos AA. Atherosclerosis and cardiovascular disease in the spondyloarthritides, particularly ankylosing spondylitis and psoriatic arthritis. Clin Exp Rheumatol 2013;31:612-20.
  • 2. Roifman I, Beck PL, Anderson TJ et al. Chronic inflammatory diseases and cardiovascular risk: a systematic review. Can J Cardiol 2011;27:174-82.
  • 3. Peters MJ, van der Horst-Bruinsma IE, Dijkmans BA et al. Cardiovascular risk profile of patients with spondylarthropathies, particularly ankylosing spondylitis and psoriatic arthritis. Semin Arthritis Rheum 2004;34:585-92.
  • 4. Kang JH, Chen YH, Lin HC. Comorbidity profiles among patients with ankylosing spondylitis: a nationwide population-based study. Ann Rheum Dis 2010;69:1165-8.
  • 5. Lagrand WK, Visser CA, Hermens WT et al. C-reactive protein as a cardiovascular risk factor: more than an epiphenomenon? Circulation 1999;100:96-102.
  • 6. Blangy H, Sadoul N, Dousset B et al. Serum BNP, hs-C-reactive protein, procollagen to assess the risk of ventricular tachycardia in ICD recipients after myocardial infarction. European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology. Europace 2007;9:724-9.
  • 7. Lazzerini PE, Acampa M, Hammoud M et al. Arrhythmic risk during acute infusion of infliximab: a prospective, single-blind, placebo-controlled, crossover study in patients with chronic arthritis. J Rheumatol 2008;35:1958-65.
  • 8. Brunner F, Kunz A, Weber U et al. Ankylosing spondylitis and heart abnormalities: do cardiac conduction disorders, valve regurgitation and diastolic dysfunction occur more often in male patients with diagnosed ankylosing spondylitis for over 15 years than in the normal population? Clin Rheumatol 2006;25:24-9.
  • 9. Knight DM, Trinh H, Le J et al. Construction and initial characterization of a mouse-human chimeric anti-TNF antibody. Mol Immunol 1993;30:1443-53.
  • 10. Maxwell LJ, Zochling J, Boonen A et al. TNF-alpha inhibitors for ankylosingspondylitis. Cochrane Database Syst Rev 2015;4:CD005468.
  • 11. Brewerton DA, Gibson DG, Goddard DH et al. The myocardium in ankylosing spondylitis. A clinical, echocardiographic, and histopathological study. Lancet 1987;1:995-8.
  • 12. Sano K, Watanabe E, Hayano J et al. Central sleep apnoea and inflammation are independently associated wit arrhythmia in patients with heart failure. Eur J Heart Fail 2013;15:1003-10.
  • 13. Tam LS, Kitas GD, Gonzalez-Gay MA. Can suppression of inflammation by anti- TNF prevent progression of subclinical atherosclerosis in inflammatory arthritis? Rheumatology 2014;53:1108-19.
  • 14. Senel S, Cobankara V, Taskoylu O et al. Effect of infliximab treatment on QT intervals in patients with ankylosing spondylitis. J Investig Med 2011;59:1273- 5.

Ankilozan Spondilitli Bir Hastada İnfliksimabın Kesilmesiyle Olușan Ventriküler Aritmi

Year 2015, Volume: 68 Issue: 2, 77 - 79, 14.10.2015
https://izlik.org/JA45RT62ZY

Abstract

İnfliksimab dirençli ankilozan spondilit (AS) tedavisinde endikasyonu bulunan bir anti-tümör nekroz faktör alfa ajanıdır. İnfliksimabın erken kesilmesi sonucu ventriküler tașikardi gelișen bir hasta sunuyoruz. İnfliksimab tedavisinin tekrar bașlanmasıyla ventriküler tașikardi tekrarlamamıștır. Bu vaka takdimi AS hastalarında inflamasyonun, subklinik ventriküler tutulumun potansiyel olarak ölümcül aritmilere yol açabilmesi nedeniyle, baskılanmasının önemini vurgulamaktadır.

Ethical Statement

-

Supporting Institution

-

Thanks

-

References

  • 1. Papagoras C, Voulgari PV, Drosos AA. Atherosclerosis and cardiovascular disease in the spondyloarthritides, particularly ankylosing spondylitis and psoriatic arthritis. Clin Exp Rheumatol 2013;31:612-20.
  • 2. Roifman I, Beck PL, Anderson TJ et al. Chronic inflammatory diseases and cardiovascular risk: a systematic review. Can J Cardiol 2011;27:174-82.
  • 3. Peters MJ, van der Horst-Bruinsma IE, Dijkmans BA et al. Cardiovascular risk profile of patients with spondylarthropathies, particularly ankylosing spondylitis and psoriatic arthritis. Semin Arthritis Rheum 2004;34:585-92.
  • 4. Kang JH, Chen YH, Lin HC. Comorbidity profiles among patients with ankylosing spondylitis: a nationwide population-based study. Ann Rheum Dis 2010;69:1165-8.
  • 5. Lagrand WK, Visser CA, Hermens WT et al. C-reactive protein as a cardiovascular risk factor: more than an epiphenomenon? Circulation 1999;100:96-102.
  • 6. Blangy H, Sadoul N, Dousset B et al. Serum BNP, hs-C-reactive protein, procollagen to assess the risk of ventricular tachycardia in ICD recipients after myocardial infarction. European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology. Europace 2007;9:724-9.
  • 7. Lazzerini PE, Acampa M, Hammoud M et al. Arrhythmic risk during acute infusion of infliximab: a prospective, single-blind, placebo-controlled, crossover study in patients with chronic arthritis. J Rheumatol 2008;35:1958-65.
  • 8. Brunner F, Kunz A, Weber U et al. Ankylosing spondylitis and heart abnormalities: do cardiac conduction disorders, valve regurgitation and diastolic dysfunction occur more often in male patients with diagnosed ankylosing spondylitis for over 15 years than in the normal population? Clin Rheumatol 2006;25:24-9.
  • 9. Knight DM, Trinh H, Le J et al. Construction and initial characterization of a mouse-human chimeric anti-TNF antibody. Mol Immunol 1993;30:1443-53.
  • 10. Maxwell LJ, Zochling J, Boonen A et al. TNF-alpha inhibitors for ankylosingspondylitis. Cochrane Database Syst Rev 2015;4:CD005468.
  • 11. Brewerton DA, Gibson DG, Goddard DH et al. The myocardium in ankylosing spondylitis. A clinical, echocardiographic, and histopathological study. Lancet 1987;1:995-8.
  • 12. Sano K, Watanabe E, Hayano J et al. Central sleep apnoea and inflammation are independently associated wit arrhythmia in patients with heart failure. Eur J Heart Fail 2013;15:1003-10.
  • 13. Tam LS, Kitas GD, Gonzalez-Gay MA. Can suppression of inflammation by anti- TNF prevent progression of subclinical atherosclerosis in inflammatory arthritis? Rheumatology 2014;53:1108-19.
  • 14. Senel S, Cobankara V, Taskoylu O et al. Effect of infliximab treatment on QT intervals in patients with ankylosing spondylitis. J Investig Med 2011;59:1273- 5.
There are 14 citations in total.

Details

Primary Language English
Subjects Cardiology
Journal Section Case Report
Authors

Özgür Ulaş Özcan 0000-0003-1516-1811

Didem Sezgin Özcan This is me 0000-0003-0246-3001

Cemile Sevgi Polat 0000-0002-1037-1476

Nil Özyüncü 0000-0002-1845-5287

Çetin Erol 0000-0001-7396-3818

Publication Date October 14, 2015
IZ https://izlik.org/JA45RT62ZY
Published in Issue Year 2015 Volume: 68 Issue: 2

Cite

APA Özcan, Ö. U., Sezgin Özcan, D., Polat, C. S., Özyüncü, N., & Erol, Ç. (2015). Ventricular Arrhythmia With Cessation of Infliximab in a Patient With Ankylosing Spondylitis. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 68(2), 77-79. https://izlik.org/JA45RT62ZY
AMA 1.Özcan ÖU, Sezgin Özcan D, Polat CS, Özyüncü N, Erol Ç. Ventricular Arrhythmia With Cessation of Infliximab in a Patient With Ankylosing Spondylitis. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2015;68(2):77-79. https://izlik.org/JA45RT62ZY
Chicago Özcan, Özgür Ulaş, Didem Sezgin Özcan, Cemile Sevgi Polat, Nil Özyüncü, and Çetin Erol. 2015. “Ventricular Arrhythmia With Cessation of Infliximab in a Patient With Ankylosing Spondylitis”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 68 (2): 77-79. https://izlik.org/JA45RT62ZY.
EndNote Özcan ÖU, Sezgin Özcan D, Polat CS, Özyüncü N, Erol Ç (October 1, 2015) Ventricular Arrhythmia With Cessation of Infliximab in a Patient With Ankylosing Spondylitis. Ankara Üniversitesi Tıp Fakültesi Mecmuası 68 2 77–79.
IEEE [1]Ö. U. Özcan, D. Sezgin Özcan, C. S. Polat, N. Özyüncü, and Ç. Erol, “Ventricular Arrhythmia With Cessation of Infliximab in a Patient With Ankylosing Spondylitis”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 68, no. 2, pp. 77–79, Oct. 2015, [Online]. Available: https://izlik.org/JA45RT62ZY
ISNAD Özcan, Özgür Ulaş - Sezgin Özcan, Didem - Polat, Cemile Sevgi - Özyüncü, Nil - Erol, Çetin. “Ventricular Arrhythmia With Cessation of Infliximab in a Patient With Ankylosing Spondylitis”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 68/2 (October 1, 2015): 77-79. https://izlik.org/JA45RT62ZY.
JAMA 1.Özcan ÖU, Sezgin Özcan D, Polat CS, Özyüncü N, Erol Ç. Ventricular Arrhythmia With Cessation of Infliximab in a Patient With Ankylosing Spondylitis. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2015;68:77–79.
MLA Özcan, Özgür Ulaş, et al. “Ventricular Arrhythmia With Cessation of Infliximab in a Patient With Ankylosing Spondylitis”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 68, no. 2, Oct. 2015, pp. 77-79, https://izlik.org/JA45RT62ZY.
Vancouver 1.Özgür Ulaş Özcan, Didem Sezgin Özcan, Cemile Sevgi Polat, Nil Özyüncü, Çetin Erol. Ventricular Arrhythmia With Cessation of Infliximab in a Patient With Ankylosing Spondylitis. Ankara Üniversitesi Tıp Fakültesi Mecmuası [Internet]. 2015 Oct. 1;68(2):77-9. Available from: https://izlik.org/JA45RT62ZY