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Cardiac involvement in the adult primary vasculitides

Giulia Pazzola1, Nicolò Pipitone1, Carlo Salvarani1

  • 1Rheumatology Unit, Department of Internal Medicine, Azienda USL-IRCCS di Reggio Emilia e Università di Modena e Reggio Emilia , Reggio Emilia, Italy.

Expert Review of Clinical Immunology
|September 21, 2020
PubMed

Insights

Heart involvement in vasculitis is rare but serious, necessitating a multidisciplinary approach for diagnosis and management. Early immunosuppressive treatment and surgery can improve outcomes for patients with cardiac disease in vasculitis.

Area of Science:

  • Cardiology
  • Rheumatology
  • Vascular Medicine

Background:

  • Heart involvement in vasculitis, though infrequent, poses significant risks.
  • Diagnosing cardiac disease in vasculitis requires a comprehensive, multidisciplinary strategy.

Purpose of the Study:

  • To review the literature on cardiac manifestations of vasculitis.
  • To highlight the importance of a collaborative approach in managing heart disease in vasculitis.

Main Methods:

  • A literature search was conducted using PubMed.
  • Keywords included 'heart' and 'vasculitis'.

Main Results:

  • Any form of vasculitis can impact the heart.
  • Cardiac involvement is more prevalent in Takayasu arteritis, polyarteritis nodosa, and eosinophilic granulomatosis with polyangiitis.
  • Treatment strategies include immunosuppression and surgical intervention.

Conclusions:

  • Effective management of cardiac vasculitis relies on integrated care from Rheumatologists, Radiologists, Cardiologists, and Heart Surgeons.
  • Timely immunosuppressive therapy and surgical options can enhance patient prognosis.
Abstract

Keywords:
Vasculitiscardiac involvementheartheart involvement

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