Lack of subclinical myocardial ischaemia in Mexican patients with systemic lupus erythematosus without traditional risk factors for coronary artery disease
| Autor: | Ricard Cervera, Margarita Muñoz-Guarneros, Ricardo O. Escárcega, J. Pérez-Terrón, A. Beltrán, Aurelio López-Colombo, A. Ramírez, Mario García-Carrasco, B. Pérez-Cuevas |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Myocardial Ischemia Coronary Artery Disease 030204 cardiovascular system & hematology Hospitals General Severity of Illness Index Cohort Studies Coronary artery disease Electrocardiography 03 medical and health sciences 0302 clinical medicine Rheumatology Risk Factors Internal medicine Diabetes mellitus Hyperlipidemia Humans Lupus Erythematosus Systemic Medicine cardiovascular diseases Mexico Subclinical infection 030203 arthritis & rheumatology business.industry Middle Aged medicine.disease Obesity Cross-Sectional Studies Cohort Cardiology Female Dobutamine business Echocardiography Stress medicine.drug |
| Zdroj: | Lupus. 16:298-301 |
| ISSN: | 1477-0962 0961-2033 |
| DOI: | 10.1177/0961203307076519 |
| Popis: | The objective of this study was to analyse whether patients with systemic lupus erythematosus (SLE) without traditional risk factors for coronary artery disease (CAD) develop subclinical myocardial ischaemia in the first years after diagnosis. A cross-sectional analysis of a cohort of 200 female SLE patients was conducted. We selected those patients who fulfilled the American College of Rheumatology (ACR) SLE criteria and had no traditional risk factors for CAD, including diabetes mellitus, hypertension, obesity, hyperlipidemia, and smoking. After an initial clinical and laboratory examination, patients were evaluated using a baseline echocardiogram and a dobutamine and atropine stress echocardiogram to search for subclinical myocardial ischaemia. Forty-one patients were included in the study. The mean age at the time of the study was 34.5 ± 9.56 years (mean ± SD). The mean age at diagnosis was 30.3 ± 9.39 years. The mean time from diagnosis was 3.9 ± 3.3 years. Baseline disease activity index (MEX-SLEDAI score) showed that 92.6% of patients had disease activity, although most patients had mild activity. A dobutamine and atropine stress echocardiogram was performed in 40 patients. All 40 patients had negative tests for subclinical myocardial ischaemia. Patients without traditional risk factors for CAD do not have an increased risk for subclinical myocardial ischaemia in the first years after diagnosis. A longitudinal follow-up study of these patients is needed to confirm our findings and assess if additional non-traditional risk factors for CAD increase the risk for myocardial ischaemia. Lupus (2007) 16, 298—301. |
| Databáze: | OpenAIRE |
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