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Imaging of cardiovascular complications in patients with systemic lupus erythematosus
K Lin1, D M Lloyd-Jones2, D Li3
1Department of Radiology, Northwestern University, Chicago, IL, USA kai-lin@northwestern.edu.
Insights
Systemic lupus erythematosus (SLE) patients face high cardiovascular disease (CVD) mortality. Advanced imaging biomarkers can assess heart conditions and guide SLE treatment for better cardiovascular outcomes.
Area of Science:
- Cardiology
- Rheumatology
- Medical Imaging
Background:
- Cardiovascular disease (CVD) is a primary cause of mortality in patients with systemic lupus erythematosus (SLE).
- Both traditional CVD risk factors and SLE-specific conditions contribute to increased cardiovascular risk in these patients.
- Multimodality cardiovascular imaging is increasingly used to evaluate cardiovascular risk in SLE.
Purpose of the Study:
- To review cutting-edge cardiovascular imaging techniques for evaluating SLE-related heart disorders.
- To discuss the potential clinical applications and limitations of these imaging methods.
- To highlight the role of quantitative imaging biomarkers in risk stratification and guiding SLE management.
Main Methods:
- Review of current literature on cardiovascular imaging in SLE.
- Discussion of multimodality imaging techniques (e.g., echocardiography, cardiac MRI, CT).
- Focus on quantitative imaging biomarkers for morphological and functional cardiac assessment.
Main Results:
- Quantitative imaging biomarkers offer novel insights into cardiac abnormalities in SLE.
- Imaging can help stratify cardiovascular risk beyond traditional factors.
- Assessment of individual responses to therapies targeting cardiovascular protection or autoimmune suppression is feasible.
Conclusions:
- Advanced cardiovascular imaging techniques are crucial for managing SLE patients.
- Quantitative biomarkers derived from imaging can personalize SLE management and improve long-term survival.
- Further research is needed to fully elucidate the clinical utility and limitations of these techniques.
Abstract:
In the long-term survival of patients with systemic lupus erythematosus (SLE), cardiovascular disease (CVD) is a leading cause of death. Recently, multimodality cardiovascular imaging methods have been adopted for the evaluation of cardiovascular risk, which has shown to be associated with both traditional cardiovascular risk factors and SLE-specific conditions. Quantitative imaging biomarkers, which can describe both morphological and functional abnormalities in the heart, are expected to provide new insights to stratify cardiovascular risks and to guide SLE management by assessing individual responses to therapies either protecting the cardiovascular system or suppressing the autoimmune reactions. In this review, we will discuss cutting-edge cardiovascular imaging techniques and potential clinical applications and limitations of those techniques for the evaluation of major SLE-related heart disorders.
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