Cardiac abnormalities in systemic lupus erythematosus: a prospective M-mode, cross-sectional and Doppler echocardiographic study
Identifieur interne : 003041 ( Main/Exploration ); précédent : 003040; suivant : 003042Cardiac abnormalities in systemic lupus erythematosus: a prospective M-mode, cross-sectional and Doppler echocardiographic study
Auteurs : Wing-Hung Leung [République populaire de Chine] ; Kee-Lam Wong [République populaire de Chine] ; Chu-Pak Lau [République populaire de Chine] ; Cheuk-Kit Wong [République populaire de Chine] ; Chun-Ho Cheng [République populaire de Chine]Source :
- International Journal of Cardiology [ 0167-5273 ] ; 1990.
English descriptors
- Teeft :
- Abnormality, Active disease, Annular calcification, Aortic, Aortic regurgitation, Aortic valve, Atrial enlargement, Autopsy studies, Axis view, Cardiac, Cardiac abnormalities, Cardiac catheterization, Clinical data, Control group, Doppler, Doppler echocardiography, Dysfunction, Echocardiographic, Echocardiographic abnormalities, Echocardiography, Effusion, Endocarditis, Erythematosus, High prevalence, Hypertension, Hypokinesis, Inactive disease, Lesion, Lupus, Mitral, Mitral regurgitation, Mitral stenosis, Mitral valve, Mitral valve prolapse, Pericardial, Pericardial effusion, Pulmonary regurgitation, Regurgitation, Renal disease, Right ventricle, Septal hypokinesis, Systemic, Systemic lupus, Systemic lupus erythematosus, Tricuspid regurgitation, Valvar, Valvar lesions, Valvar replacement, Valve, Ventricular, Ventricular dysfunction, Ventricular hypertrophy, Verrucous.
Abstract
Abstract: A prospective M-mode, cross-sectional and Doppler echocardiographic study was performed on 75 patients with systemic lupus erythematosus and 60 sex- and age-matched control subjects. Compared with the control group, patients with lupus had an increased prevalence of echocardiographic abnormalities. These included pericardial effusion and/or thickening (37%), left ventricular hypertrophy (12%), global left ventricular hypokinesis (5%), segmental abnormalities of left ventricular wall motion (4%), right ventricular enlargement (4%), focal verrucous valvar thickening (12%), gross valvar thickening and dysfunction (8%), mitral regurgitation (25%) and aortic regurgitation (8%). Two patients with gross mitral valvar thickening and dysfunction subsequently underwent valvar replacement. Correlation between echocardiographic abnormalities and clinical parameters showed that pericardial effusion was significantly associated with pericardial pain (P < 0.05) and active disease (P < 0.001), and left ventricular hypertrophy with systemic hypertension (P < 0.05). Thus, there was a high prevalence of cardiac abnormalities, especially pericardial and valvar lesions, in patients with systemic lupus erythematosus. Echocardiography is invaluable in identifying these abnormalities and should be used routinely for cardiac evaluation of these patients.
Url:
DOI: 10.1016/0167-5273(90)90294-F
Affiliations:
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Medicine, University of Hong Kong, Queen Mary Hospital, Hong Kong</wicri:regionArea><wicri:noRegion>Hong Kong</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">International Journal of Cardiology</title><title level="j" type="abbrev">IJCA</title><idno type="ISSN">0167-5273</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1990">1990</date><biblScope unit="volume">27</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="367">367</biblScope><biblScope unit="page" to="375">375</biblScope></imprint><idno type="ISSN">0167-5273</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0167-5273</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="Teeft" xml:lang="en"><term>Abnormality</term><term>Active disease</term><term>Annular calcification</term><term>Aortic</term><term>Aortic regurgitation</term><term>Aortic valve</term><term>Atrial enlargement</term><term>Autopsy studies</term><term>Axis view</term><term>Cardiac</term><term>Cardiac abnormalities</term><term>Cardiac catheterization</term><term>Clinical data</term><term>Control group</term><term>Doppler</term><term>Doppler echocardiography</term><term>Dysfunction</term><term>Echocardiographic</term><term>Echocardiographic abnormalities</term><term>Echocardiography</term><term>Effusion</term><term>Endocarditis</term><term>Erythematosus</term><term>High prevalence</term><term>Hypertension</term><term>Hypokinesis</term><term>Inactive disease</term><term>Lesion</term><term>Lupus</term><term>Mitral</term><term>Mitral regurgitation</term><term>Mitral stenosis</term><term>Mitral valve</term><term>Mitral valve prolapse</term><term>Pericardial</term><term>Pericardial effusion</term><term>Pulmonary regurgitation</term><term>Regurgitation</term><term>Renal disease</term><term>Right ventricle</term><term>Septal hypokinesis</term><term>Systemic</term><term>Systemic lupus</term><term>Systemic lupus erythematosus</term><term>Tricuspid regurgitation</term><term>Valvar</term><term>Valvar lesions</term><term>Valvar replacement</term><term>Valve</term><term>Ventricular</term><term>Ventricular dysfunction</term><term>Ventricular hypertrophy</term><term>Verrucous</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Abstract: A prospective M-mode, cross-sectional and Doppler echocardiographic study was performed on 75 patients with systemic lupus erythematosus and 60 sex- and age-matched control subjects. Compared with the control group, patients with lupus had an increased prevalence of echocardiographic abnormalities. These included pericardial effusion and/or thickening (37%), left ventricular hypertrophy (12%), global left ventricular hypokinesis (5%), segmental abnormalities of left ventricular wall motion (4%), right ventricular enlargement (4%), focal verrucous valvar thickening (12%), gross valvar thickening and dysfunction (8%), mitral regurgitation (25%) and aortic regurgitation (8%). Two patients with gross mitral valvar thickening and dysfunction subsequently underwent valvar replacement. Correlation between echocardiographic abnormalities and clinical parameters showed that pericardial effusion was significantly associated with pericardial pain (P < 0.05) and active disease (P < 0.001), and left ventricular hypertrophy with systemic hypertension (P < 0.05). Thus, there was a high prevalence of cardiac abnormalities, especially pericardial and valvar lesions, in patients with systemic lupus erythematosus. Echocardiography is invaluable in identifying these abnormalities and should be used routinely for cardiac evaluation of these patients.</div></front></TEI><affiliations><list><country><li>République populaire de Chine</li></country></list><tree><country name="République populaire de Chine"><noRegion><name sortKey="Leung, Wing Hung" sort="Leung, Wing Hung" uniqKey="Leung W" first="Wing-Hung" last="Leung">Wing-Hung Leung</name></noRegion><name sortKey="Cheng, Chun Ho" sort="Cheng, Chun Ho" uniqKey="Cheng C" first="Chun-Ho" last="Cheng">Chun-Ho Cheng</name><name sortKey="Lau, Chu Pak" sort="Lau, Chu Pak" uniqKey="Lau C" first="Chu-Pak" last="Lau">Chu-Pak Lau</name><name sortKey="Wong, Cheuk Kit" sort="Wong, Cheuk Kit" uniqKey="Wong C" first="Cheuk-Kit" last="Wong">Cheuk-Kit Wong</name><name sortKey="Wong, Kee Lam" sort="Wong, Kee Lam" uniqKey="Wong K" first="Kee-Lam" last="Wong">Kee-Lam Wong</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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