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Published on: May 10, 2024
[Cardiovascular manifestations in Chinese patients with hypereosinophilic syndrome]
Rui-yi Xu1, Li-lin Guo, Xue Lin
1Department of Cardiology, Chinese Academy of Medical Sciences, Beijing 100730, China.
Insights
Cardiovascular involvements are common in Chinese patients with hypereosinophilic syndrome (HES), leading to significant morbidity and mortality. Early detection and management of cardiac complications are crucial for improving patient outcomes in HES.
Area of Science:
- Cardiology
- Hematology
- Internal Medicine
Background:
- Hypereosinophilic syndrome (HES) is a rare disorder characterized by persistent eosinophilia.
- HES can affect multiple organs, with cardiovascular involvement being a significant concern.
Purpose of the Study:
- To investigate the prevalence and spectrum of cardiovascular involvements in Chinese patients diagnosed with HES.
Main Methods:
- A retrospective review of 149 HES inpatients at Peking Union Medical College Hospital.
- Analysis of clinical data, focusing on cardiovascular manifestations and outcomes.
Main Results:
- Cardiac abnormalities were observed in 32.9% of patients.
- Common involvements included ischemic changes, arrhythmias, myocardial injury, and thrombosis.
- Poorer prognosis was associated with echocardiogram abnormalities compared to electrocardiogram findings alone.
Conclusions:
- Cardiovascular complications are frequent and diverse in HES patients.
- These complications represent a major cause of illness and death in HES.
- Understanding these involvements is critical for patient management.
Objective:
To evaluate the cardiovascular involvements in Chinese patients with hypereosinophilic syndrome.
Method:
We respectively reviewed 149 inpatients with hypereosinophilic syndrome admitted to Peking Union Medical College Hospital and analyzed the cardiovascular involvements in these patients.
Results:
Cardiac abnormalities was evidenced in 32.9% patients (49/149). The ratio of male vs female was 34:15. The average age of the patients was (41.3 ± 16.9) years and course of disease was (26.4 ± 72.3) months. Cardiovascular involvements included ST segment and/or T wave (ST-T) ischemic changes, arrhythmia, myocardial injury, cardiac thrombosis, pericardial effusion, pulmonary hypertension, valve disorder, vein or artery thrombosis. After glucocorticoid and/or chemotherapeutic agents and treatment for symptoms, 11 (22.4%) patients achieved remission but have recurrent attacks and 3 (6.1%) patients died from failure in treatment. The prognosis in patients with echocardiogram abnormalities were poorer than those only with electrocardiogram abnormalities (P < 0.05).
Conclusions:
Cardiovascular involvements are common in patients with hypereosinophilic syndrome and the manifestation of these involvement is various. Cardiovascular complications of HES are a major source of morbidity and mortality in these disorders.
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