Speckle tracking echocardiography for the evaluation of left ventricular function in children with systemic lupus erythematosus.

Abstract:

BACKGROUND:Many studies in adult patients with systemic lupus erythematosus (SLE) have demonstrated that myocardial dysfunction was significantly associated with enhanced disease activity. However, similar studies in paediatric patients with SLE are limited. The aim of this study was to evaluate the role of speckle tracking echocardiography (STE) to detect left ventricular dysfunction in children with active and inactive SLE. METHODS:This prospective case-control study was carried out on 50 children with SLE. Thirty healthy age- and sex-matched children comprised the control group. The patients were further subdivided into two subgroups: active SLE and inactive SLE. Laboratory investigations undertaken included complete blood count, renal function, C3, C4, ANA, anti-dsDNA and serum N-terminal pro-B type natriuretic peptide. Echocardiographic examinations were performed on all children and included conventional echocardiography, tissue Doppler imaging (TDI) and two- and three-dimensional STE. RESULTS:There was no statistically significant difference in N-terminal pro B natriuretic peptide between the studied groups. The myocardial performance index by TDI was statistically significantly higher in SLE patients compared to controls. STE parameters were statistically significantly lower in SLE patients compared to controls. There was no correlation between STE parameters and disease activity. CONCLUSIONS:STE could be a promising technique in the early detection of subclinical left ventricular dysfunction in children with SLE.

journal_name

Lupus

journal_title

Lupus

authors

Emara M,Hafez MA,El-Bendary A,Razaky OE

doi

10.1177/0961203320942296

subject

Has Abstract

pub_date

2020-10-01 00:00:00

pages

1449-1455

issue

11

eissn

0961-2033

issn

1477-0962

journal_volume

29

pub_type

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