{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T17:01:45Z","timestamp":1782320505016,"version":"3.54.5"},"reference-count":25,"publisher":"BMJ","issue":"2","license":[{"start":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T00:00:00Z","timestamp":1782259200000},"content-version":"unspecified","delay-in-days":84,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["RMD Open"],"accepted":{"date-parts":[[2026,6,14]]},"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Psoriatic arthritis (PsA) is a chronic inflammatory systemic disease that is associated with cardiovascular comorbidities, particularly with an increased risk of arrhythmias. Despite the evidence, a structured population-based risk stratification that relates ECG parameters to clinical characteristics in PsA is still lacking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data from patients diagnosed with PsA who presented to our centre between 2014 and 2022 as well as from an age-matched and sex-matched control group of cardiovascular patients were collected. A variety of established ECG parameters associated with atrial and ventricular repolarisation and atrioventricular conduction as well as a comprehensive set of clinical variables were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 725 patients with PsA alongside 725 matched cardiovascular patients were enrolled (mean age 52.5\u00b113.4 years). The median duration of PsA was 2 years. Patients with PsA had similar rates of first-degree atrioventricular block (AVB I\u00b0) with the control group (9.5% vs 10.2%; p=0.725). After excluding patients with known atrial arrhythmias, patients with PsA had higher rates of significant P-wave terminal force in V1 versus controls (30.2% vs 14.1%; p&lt;0.001). Furthermore, patients with PsA had a longer corrected Tpeak-Tend interval (0.26\u00b10.04\u2009vs 0.23\u00b10.05; p&lt;0.001). After adjusting for age, among patients with PsA, male sex (16.4% vs 7.1%; p=0.006) as well as long disease duration (18.0% vs 6.9%; p&lt;0.001) were associated with AVB I\u00b0.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients with PsA are at a significantly increased risk for ECG abnormalities related to both atrial and ventricular repolarisation as well as atrioventricular conduction. Non-invasive, ECG-based tools for structured risk stratification could facilitate the early detection of patients at risk.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/rmdopen-2026-007006","type":"journal-article","created":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T16:10:19Z","timestamp":1782317419000},"page":"e007006","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Arrhythmic risk stratification in psoriatic arthritis: a retrospective, electrogram-based comparative analysis"],"prefix":"10.1136","volume":"12","author":[{"given":"Philipp","family":"Sewerin","sequence":"first","affiliation":[{"name":"Rheumazentrum Ruhrgebiet Herne, Ruhr-University Bochum, Bochum, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0406-1855","authenticated-orcid":false,"given":"Dimitrios","family":"Bismpos","sequence":"additional","affiliation":[{"name":"Department of Cardiology\/Angiology, Ruhr University Bochum, Marien Hospital Herne, Herne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp Sebastian","family":"Lange","sequence":"additional","affiliation":[{"name":"Department of Cardiology\/Angiology, Ruhr University Bochum, Marien Hospital Herne, Herne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neru","family":"Horstmann","sequence":"additional","affiliation":[{"name":"Rheumazentrum Ruhrgebiet Herne, Ruhr-University Bochum, Bochum, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hendrik","family":"Sprave","sequence":"additional","affiliation":[{"name":"Department of Cardiology\/Angiology, Ruhr University Bochum, Marien Hospital Herne, Herne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Ukena","sequence":"additional","affiliation":[{"name":"Department of Cardiology\/Angiology, Ruhr University Bochum, Marien Hospital Herne, Herne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xenofon","family":"Baraliakos","sequence":"additional","affiliation":[{"name":"Rheumazentrum Ruhrgebiet Herne, Ruhr-University Bochum, Bochum, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,6,24]]},"reference":[{"key":"2026062409101097000_12.2.e007006.1","doi-asserted-by":"publisher","DOI":"10.1136\/ard-2024-225531"},{"key":"2026062409101097000_12.2.e007006.2","doi-asserted-by":"crossref","DOI":"10.1155\/2012\/714321","article-title":"Cardiovascular risk in patients with psoriatic arthritis","volume":"2012","author":"Zhu","year":"2012","journal-title":"Int J Rheumatol"},{"key":"2026062409101097000_12.2.e007006.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2015.06.023"},{"key":"2026062409101097000_12.2.e007006.4","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2017-212189"},{"key":"2026062409101097000_12.2.e007006.5","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.119.015343","article-title":"Characterization, pathogenesis, and clinical implications of inflammation-related atrial myopathy as an important cause of atrial fibrillation","volume":"9","author":"Packer","year":"2020","journal-title":"J Am Heart Assoc"},{"key":"2026062409101097000_12.2.e007006.6","doi-asserted-by":"crossref","unstructured":"Tran HH-V , Thu A , Twayana AR , et al . 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