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.

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