Echocardiography in the Assessment of Patients with Rheumatologic Diseases
Maha A Al-Mohaissen1, Kwan-Leung Chan2,3
1Department of Clinical Sciences (Cardiology), Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
Insights
Cardiovascular disease is a serious complication of rheumatologic conditions. Echocardiography effectively screens for and evaluates heart involvement in patients with rheumatoid arthritis, lupus, and other systemic diseases.
Area of Science:
- Rheumatology
- Cardiology
- Medical Imaging
Background:
- Cardiovascular disease (CVD) is a significant cause of mortality and morbidity in rheumatologic diseases.
- Extra-articular manifestations, including cardiac involvement, are common in conditions like rheumatoid arthritis, systemic lupus erythematosus, anti-phospholipid antibody syndrome, systemic sclerosis, and ankylosing spondylitis.
Purpose of the Study:
- To review the cardiac involvement in specific rheumatologic diseases.
- To highlight the role of echocardiography in evaluating cardiac manifestations in these patients.
Main Methods:
- Literature review of studies on cardiac involvement in rheumatoid arthritis, systemic lupus erythematosus, anti-phospholipid antibody syndrome, systemic sclerosis, and ankylosing spondylitis.
- Discussion of various echocardiographic modalities used for cardiac evaluation.
Main Results:
- Echocardiography is a valuable non-invasive tool for screening and assessing cardiac involvement.
- Technological advancements in echocardiography allow for the detection of subclinical cardiac disease.
- The review details the specific cardiac manifestations associated with each discussed rheumatologic condition.
Conclusions:
- Cardiac involvement is a critical aspect of rheumatologic disease management.
- Echocardiography plays a vital role in the early detection and evaluation of cardiovascular complications.
- Comprehensive assessment using echocardiography improves patient outcomes in rheumatologic diseases.
Abstract:
Cardiovascular disease is an important extra-articular manifestation of rheumatologic diseases leading to considerable mortality and morbidity. Echocardiography emerges as a useful non-invasive technique for the screening and evaluation of cardiac involvement in these patients. With the technological advancement in echocardiographic techniques, we have gained a greater appreciation of the prevalence and nature of the cardiac involvement in these patients, as detection of subclinical disease is increasingly feasible. This review discusses cardiac involvement in patients with rheumatoid arthritis, systemic lupus erythematosus, anti-phospholipid antibody syndrome, systemic sclerosis and ankylosing spondylitis, and the role of different echocardiographic modalities in their evaluation.
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