Long-term cardiac changes in patients with systemic lupus erythematosusReportar como inadecuado




Long-term cardiac changes in patients with systemic lupus erythematosus - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

BMC Research Notes

, 6:171

First Online: 01 May 2013Received: 16 December 2012Accepted: 18 April 2013DOI: 10.1186-1756-0500-6-171

Cite this article as: de Godoy, M.F., de Oliveira, C.M., Fabri, V.A. et al. BMC Res Notes 2013 6: 171. doi:10.1186-1756-0500-6-171

Abstract

BackgroundThe aim of this study was evaluate the late-onset repercussions of heart alterations of patients with systemic lupus erythematosus SLE after a 13-year follow up.

MethodsA historical prospective study was carried out involving the analysis of data from the charts of patients with a confirmed diagnosis of lupus in follow up since 1998. The 13-year evolution was systematically reviewed and tabulated to facilitate the interpretation of the data.

ResultsForty-eight patient charts were analyzed. Mean patient age was 34.5 ± 10.8 years at the time of diagnosis and 41.0 ± 10.3 years at the time of the study 45 women and 3 men. Eight deaths occurred in the follow-up period two due to heart problems. Among the alterations found on the complementary exams, 46.2% of cases demonstrated worsening at reevaluation and four patients required a heart catheterization. In these cases, coronary angioplasty was performed due to the severity of the obstructions and one case required a further catheterization, culminating in the need for surgical myocardial revascularization.

ConclusionThe analysis demonstrated progressive heart impairment, with high rates of alterations on conventional complementary exams, including the need for angioplasty or revascularization surgery in four patients. These findings indicate the need for rigorous cardiac follow up in patients with systemic lupus erythematosus.

KeywordsLupus erythematosus systemic Cardiovascular diseases AbbreviationsSLESystemic lupus erythematosus

LVLeft ventricular

RCARight coronary artery

PTCAPercutaneous transluminal coronary angioplasty

CxCircumflex artery

IVAInterventricular anterior artery.

Electronic supplementary materialThe online version of this article doi:10.1186-1756-0500-6-171 contains supplementary material, which is available to authorized users.

Download fulltext PDF



Autor: Moacir Fernandes de Godoy - Cibele Matsuura de Oliveira - Vanessa Alves Fabri - Luiz Carlos de Abreu - Vitor E Valenti -

Fuente: https://link.springer.com/







Documentos relacionados