Table 3

Logistic regression analyses for cardiac conduction disturbance at 5-year follow-up in 172 patients with AS

Univariate modelAge- and sex-adjusted model
OR (95% CI)P valueOR (95% CI)*P value
General characteristics at baseline
 Men (vs women)4.8 (1.6 to 14.8)0.0066.4 (2.0 to 20.8)0.002
 Age†, per 5 years
   Men1.5 (1.2 to 2.0)0.001n.a.
   Women1.4 (0.9 to 2.4)0.168n.a.
 Current or past smoking (vs non-smokers)2.2 (0.9 to 5.6)0.0861.4 (0.5 to 3.9)0.492
 Waist circumference, per 5 cm1.4 (1.2 to 1.7)<0.0011.3 (1.1 to 1.6)0.006
 BMI ≥25 kg/m2 (vs BMI <25 kg/m2)4.3 (1.5 to 12.2)0.0062.7 (0.9 to 8.3)0.077
AS characteristics at baseline
 Symptom duration‡, per 5 years
   Men1.4 (1.2 to 1.8)0.001n.a.
   Women1.8 (1.0 to 3.0)0.036n.a.
 HLA-B27-positive (vs HLA-B27-negative)3.8 (0.5 to 29.7)0.2023.8 (0.5 to 31.1)0.221
 History of peripheral arthritis2.3 (0.8 to 6.0)0.1062.4 (0.8 to 7.2)0.116
 History of anterior uveitis5.5 (1.8 to 17.0)0.0034.4 (1.3 to 14.5)0.016
 At least one syndesmophyte3.9 (1.4 to 10.4)0.0071.6 (0.5 to 4.9)0.403
 Log10 (mSASSS +1)§, score2.8 (1.3 to 5.9)0.0080.8 (0.3 to 2.1)0.714
 ASDAS-CRP score2.2 (1.3 to 3.6)0.0032.3 (1.3 to 4.0)0.005
 ASDAS-CRP ≥2.1(vs ASDAS-CRP <2.1)2.3 (0.9 to 5.7)0.0762.4 (0.9 to 6.7)0.08
 BASDAI score1.2 (1.0 to 1.5)0.1091.2 (1.0 to 1.6)0.064
 BASMI‡ score1.6 (1.2 to 2.1)0.001
   Men1.5 (1.1 to 1.9)0.008n.a.
   Women1.8 (0.8 to 4.3)0.187n.a.
 BASFI score1.4 (1.1 to 1.7)0.0031.3 (1.0 to 1.6)0.050
 CRP ≥5 mg/L (vs CRP <5 mg/L)1.9 (0.8 to 4.7)0.1471.9 (0.7 to 5.1)0.189
Cardiovascular characteristics at baseline
 CCD33.0 (10.8 to 100.8)<0.00124.8 (7.3 to 84.5)<0.001
 Aortic regurgitation2.6 (0.9 to 7.4)0.0861.1 (0.3 to 4.0)0.884
 Systolic blood pressure, per 10 mm Hg1.3 (1.1 to 1.7)0.0071.2 (0.9 to 1.5)0.162
 Diastolic blood pressure, per 5 mm Hg1.0 (0.8 to 1.2)0.7851.0 (0.8 to 1.3)0.898
Reported comorbidity at baseline
 Hypertension2.9 (1.2 to 7.1)0.0211.2 (0.4 to 3.5)0.705
 Hyperlipidaemia4.3 (1.1 to 16.0)0.0312.7 (0.6 to 12.5)¶0.193
Medications at baseline
 Antiplatelets or anticoagulants12.7 (3.9 to 41.6)<0.0016.3 (1.6 to 25.0)¶0.009
   Antiplatelets12.6 (3.6 to 44.4)<0.0017.0 (1.5 to 31.8)¶0.012
 Antihypertensives5.4 (2.1 to 13.6)<0.0012.5 (0.8 to 7.6)¶0.112
   ACE inhibitors/ARBs4.6 (1.6 to 13.1)0.0051.4 (0.4 to 4.9)¶0.562
   Beta-blockers7.3 (2.6 to 20.4)<0.0013.4 (1.0 to 11.5)¶0.045
 DMARDs0.5 (0.2 to 1.4)0.1620.5 (0.2 to 1.5)0.206
   TNF inhibitors0.3 (0.1 to 1.6)0.1690.3 (0.1 to 1.7)0.189
   csDMARDs0.6 (0.2 to 1.7)0.3160.6 (0.2 to 1.8)0.356
   NSAIDs1.0 (0.4 to 3.0)0.9651.4 (0.4 to 4.3)0.583
  • Univariate and age- and sex-adjusted logistic regression analyses presented as OR (95% CI) for each baseline variable, CCD at follow-up (yes/no) as dependent variable.

  • *The variable sex (men vs women) is adjusted for age only.

  • †ORs for age are stratified by sex.

  • ‡High correlation was noted between age and symptom duration, in men between age and BASMI. The ORs for symptom duration and BASMI are therefore stratified by sex and not age- and sex-adjusted.

  • §Due to skewness of distribution, mSASSS +1 was log-transformed.

  • ¶None (antiplatelets or anticoagulants) or less than five positive observations (hyperlipidaemia, antihypertensives with subcategories) in patients below 50 years of age at baseline.

  • ARBs, angiotensin II receptor blockers;AS, ankylosing spondylitis; ASDAS-CRP, AS Disease Activity Score-C reactive protein; BASDAI, Bath Ankylosing Spondylitis Disease Activity Index; BASFI, Bath Ankylosing Spondylitis Functional Index; BASMI, Bath Ankylosing Spondylitis Metrology Index;BMI, body mass index; CCD, cardiac conduction disturbance; CRP, C reactive protein; csDMARDs, conventional synthetic DMARDs; DMARDs, disease-modifying antirheumatic drugs;HLA-B27, human leukocyte antigen-B27; mSASSS, modified Stoke Ankylosing Spondylitis Spinal Score; n.a., not applicable; NSAIDs, non-steroidal anti-inflammatory drugs; TNF, tumour necrosis factor.