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[RHEUMATOLOGY IN PEDIATRIC CARDIOLOGY FROM FETAL STAGE TO ADULTHOOD. THE ROLE OF FETAL ECHOCARDIOGRAPHY].
Reumatizam
|April 7, 2018
Summary
Pediatric cardiology and rheumatology maintain strong links, particularly in autoimmune diseases affecting all ages. This includes fetal heart conditions like congenital atrioventricular block and neonatal lupus syndrome.
Area of Science:
- Cardiovascular Medicine
- Rheumatology
- Pediatrics
Background:
- Pediatric cardiology and rheumatology formally separated but retain significant interdisciplinary connections.
- Rheumatic entities beyond rheumatic fever, such as systemic lupus erythematosus and Kawasaki disease, highlight these links.
Purpose of the Study:
- To explore and emphasize the crucial associations between pediatric cardiology and rheumatology across all age groups.
- To highlight the evolving cooperation between these specialties from the embryonal stage through adulthood.
Main Methods:
- Review of rheumatic entities impacting pediatric cardiology.
- Analysis of fetal and embryonal conditions linked to rheumatology.
- Focus on autoimmune diseases and their cardiac manifestations.
Main Results:
- Systemic connective tissue diseases can lead to maternal anti-SSA/Ro and anti-SSB/La antibodies, causing fetal atrioventricular block and cardiomyopathy.
- Medications like methotrexate and antiprostaglandins pose risks during embryonal and fetal development, respectively.
- Neonatal lupus syndrome is identified as a severe complication during the fetal period.
Conclusions:
- Strong interdisciplinary links exist between pediatric cardiology and rheumatology, spanning from embryonal development to adulthood.
- Understanding these connections is vital for managing complex cases involving autoimmune diseases and congenital heart conditions.
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