沙特阿拉伯阿塞尔地区狼患者的心血管并发症
Nouf A Alhammadi1, Hanan Alqahtani2, Leinah H Alshahrani3
1Rheumatology, King Khalid University, Abha, SAU.
Cureus
|September 18, 2023
概括
心血管并发症影响了沙特阿拉伯18%的系统性红斑狼 (SLE) 患者,冠状动脉疾病和心肌梗塞是常见的. 早期发现和管理对于改善患者的治疗结果至关重要.
科学领域:
- 类风湿病学 类风湿病学
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 系统性红斑狼 (SLE) 是一种与高发病率相关的重大自身免疫性疾病.
- 心血管并发症是SLE患者管理中的一个主要问题.
研究的目的:
- 为了确定SLE患者心血管并发症的患病率.
- 为了确定在这个人群中观察到的心血管并发症类型.
- 在沙特阿拉伯的Aseer地区调查这些因素.
主要方法:
- 在Aseer中央医院进行的基于记录的回顾性研究.
- 从2020年至2022年间被诊断患有SLE的患者收集的数据.
- 综合审查患者的医疗记录.
主要成果:
- 18.0% (34/189) 的SLE患者患有心血管并发症.
- 常见的并发症包括冠状动脉疾病 (38.2%),心肌梗塞 (20.6%),心周炎 (14.7%),心肌炎 (14.7%).
- 相关因素包括高血压 (50.0%),血管炎 (38.2%) 和糖尿病 (17.65%).
结论:
- 在亚太地区的SLE患者中,心血管并发症很普遍.
- 了解这些并发症对于医疗保健提供者来说至关重要.
- 量身定制的治疗和预防策略对于管理SLE心血管风险至关重要.
相关概念视频
Rheumatic Heart Disease III: Medical Management
12
Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
12
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
38
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
38
Rheumatic Heart Disease I: Introduction
16
Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
16
Rheumatic Heart Disease IV: Nursing Management
18
AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
18
Assessment of the Cardiovascular System II: Inspection
287
Inspection is the initial step in assessing the cardiovascular system. It involves a detailed visual examination that provides crucial information about a patient's circulatory and cardiac health. This systematic process, conducted from head to toe, helps identify signs of cardiovascular conditions by observing physical appearance, skin and mucous membranes, jugular and carotid pulsations, chest symmetry, and the condition of the extremities.
Head and Neck
Head and Neck
287
Cardiovascular System Abnormal Findings I: Inspection and Palpation
436
In a cardiovascular examination, inspection and palpation are crucial for identifying abnormalities.
Abnormal findings observed during an inspection
Abnormal findings observed during an inspection
436


