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Echocardiographic strain analysis reflects impaired ventricular function in youth with pediatric-onset systemic lupus erythematosus
- Source :
- Echocardiography
- Publication Year :
- 2020
-
Abstract
- BACKGROUND: Strain analysis with speckle-tracking echocardiography shows promise as a screening tool for silent myocardial dysfunction in pediatric-onset systemic lupus erythematosus (pSLE). We compared left ventricular (LV) systolic deformation (measured by strain) in children and adolescents with pSLE to controls, and assessed the relationship between strain, disease activity, and other non-invasive measures of cardiovascular health. METHODS: 20 pSLE subjects ages 9–21 underwent comprehensive cardiovascular testing, including 2D speckle-tracking echocardiography, ambulatory blood pressure monitoring (ABPM), peripheral endothelial function testing, pulse wave velocity and analysis, and carotid ultrasound. Longitudinal apical-4 chamber (LS(A4C)) and midpoint circumferential strain (CS(mid)) were compared to that of 70 healthy controls using multivariable linear regression. Among pSLE subjects, Pearson correlation coefficients were calculated to evaluate relationships between global longitudinal or circumferential strain and other measures of cardiovascular health. RESULTS: Average SLE disease duration was 3.2 years (standard deviation (SD) 2.1). 2/20 pSLE subjects had persistent disease activity, and only one met criteria for hypertension by ABPM. LS(A4C) was significantly reduced in pSLE subjects compared to controls (mean −18.3 (SD 3.2) vs. −21.8% (SD 2.2), p-value
- Subjects :
- Adult
medicine.medical_specialty
Ambulatory blood pressure
Adolescent
Pediatric onset
Strain (injury)
030204 cardiovascular system & hematology
Pulse Wave Analysis
Article
Ventricular Function, Left
03 medical and health sciences
Ventricular Dysfunction, Left
Young Adult
0302 clinical medicine
Internal medicine
medicine
Humans
Lupus Erythematosus, Systemic
Ventricular Function
Radiology, Nuclear Medicine and imaging
Child
Pulse wave velocity
030203 arthritis & rheumatology
Ventricular function
Multivariable linear regression
business.industry
Blood Pressure Monitoring, Ambulatory
medicine.disease
Peripheral
Persistent Disease
Echocardiography
Cardiology
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Echocardiography
- Accession number :
- edsair.doi.dedup.....77523f52032f99fffa3c8987065f7312