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Controls were matched with age and sex to a list of healthy individuals with normal echocardiograms. All underwent STE and CAVI.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>60 RA patients (females\u2009=\u200955) were analysed. Mean standard deviation of patient and control ages were 50\u2009\u00b1\u200910.2 and 51\u2009\u00b1\u20099.9 y, respectively, and mean duration of RA was 9.0\u2009\u00b1\u20096.8 y. Mean DAS28-CRP and DAS28-ESR were 2.9\u2009\u00b1\u20090.9 and 3.4\u2009\u00b1\u20090.9, respectively. There was no between-group differences in left ventricular ejection fraction (LVEF), LV sizes, LVMI, LV diastolic function and CAVI were within normal limits but all GLSs values was significantly lower in patients vs. controls: 17.6\u2009\u00b1\u20093.4 vs 20.4\u2009\u00b1\u20092.2 (<jats:italic>p\u2009=\u20090.03<\/jats:italic>). Multivariate regression analysis demonstrated significant correlations between GLSs and RA duration (<jats:italic>p\u2009=\u20090.02<\/jats:italic>), and GLSs and DAS28-CRP (<jats:italic>p\u2009=\u20090.041<\/jats:italic>).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Patients with RA and no clinical CV disease have reduced LV systolic function as shown by lower GLSs. It is common and associated with disease activity and RA disease duration. 2D speckle-tracking GLSs is robust in detecting this subclinical LV systolic dysfunction.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s42358-019-0100-x","type":"journal-article","created":{"date-parts":[[2019,12,16]],"date-time":"2019-12-16T16:02:37Z","timestamp":1576512157000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Disease activity is associated with LV dysfunction in rheumatoid arthritis patients without clinical cardiovascular disease"],"prefix":"10.1186","volume":"59","author":[{"given":"Punchong","family":"Hanvivadhanakul","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adisai","family":"Buakhamsri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2019,12,16]]},"reference":[{"issue":"1","key":"100_CR1","first-page":"36","volume":"30","author":"F Wolfe","year":"2003","unstructured":"Wolfe F, Freundlich B, Straus WL. 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