HEART in SLE
- Heart attacks Lupus in up to 50% of cases (autopsy)
- Mostly mild, with no symptoms or need for treatment
- Clinical symptoms are seen in approximately one in four
- Pericard (pericarditis) seen at 11-55%
- Symptoms of Pericarditis are chest pain that is enhanced when lying flat and improved when sitting or standing
- Myocardium is a heart muscle that can become inflamed (myocarditis) Of 10-15%
- Symptoms of heart failure, troponin and creatine kinase (CK) are elevated in blood tests
- Libmann-Sacks endocarditis
- Endocardium (inner part of the heart and heart valves (mitral valves most commonly) are attacked at 10-30%,
- Diagnosis
- ECG
- Echocardiography: Trans-thoracic 10%, Trans-oesophageal 30%
- MRI
- Enzymes are normal
- Diagnosis
- Endocardium (inner part of the heart and heart valves (mitral valves most commonly) are attacked at 10-30%,
- Pulmonary hypertension
- Symptoms of heart failure
- Coronary artery disease (coronary arteries) by atherosclerosis
- Chest pain at load (angina pectoris)
Literature
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