Systemic lupus erythematosus electrocardiogram: Difference between revisions
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| rowspan="2" |Libman sachs endocarditis | | rowspan="2" |Libman sachs endocarditis | ||
|[[Heart failure]] | |[[Heart failure]]<ref name="pmid8331790">{{cite journal |vauthors=Tsunakawa H, Miyamoto N, Kawabata M, Mashima S |title=[Electrocardiogram in heart failure] |language=Japanese |journal=Nippon Rinsho |volume=51 |issue=5 |pages=1222–32 |year=1993 |pmid=8331790 |doi= |url=}}</ref> | ||
<ref name="pmid8331790">{{cite journal |vauthors=Tsunakawa H, Miyamoto N, Kawabata M, Mashima S |title=[Electrocardiogram in heart failure] |language=Japanese |journal=Nippon Rinsho |volume=51 |issue=5 |pages=1222–32 |year=1993 |pmid=8331790 |doi= |url=}}</ref>| | | | ||
* P wave changes | * P wave changes | ||
* R wave height changes | * R wave height changes | ||
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**New [[left bundle branch block]] ([[LBBB]]) | **New [[left bundle branch block]] ([[LBBB]]) | ||
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| rowspan="2" |Valvular involvement | | rowspan="2" |Valvular involvement <ref name="pmid20435842">{{cite journal| author=Maganti K, Rigolin VH, Sarano ME, Bonow RO| title=Valvular heart disease: diagnosis and management. | journal=Mayo Clin Proc | year= 2010 | volume= 85 | issue= 5 | pages= 483-500 | pmid=20435842 | doi=10.4065/mcp.2009.0706 | pmc=2861980 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20435842 }}</ref><ref name="pmid14916061">{{cite journal| author=TROUNCE JR| title=The electrocardiogram in mitral stenosis. | journal=Br Heart J | year= 1952 | volume= 14 | issue= 2 | pages= 185-92 | pmid=14916061 | doi= | pmc=479442 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14916061 }}</ref> | ||
|[[Mitral stenosis|Mitral valve stenosis]] | |[[Mitral stenosis|Mitral valve stenosis]] | ||
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* [[Atrial flutter]] | * [[Atrial flutter]] | ||
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| rowspan="2" |[[Pericardial disease]] <ref name="troughton">{{cite journal | author= Troughton RW, Asher CR, Klein AL | title= Pericarditis | journal= Lancet| year=2004| pages=717–27 | volume=363 | issue=9410 | pmid=15001332 | doi= 10.1016/S0140-6736(04)15648-1}}</ref><ref name="spodick">{{cite journal | author= Spodick DH | title= Acute pericarditis: current concepts and practice | journal= JAMA | year=2003 | pages=1150–3 | volume=289 | issue=9 | pmid=12622586 | doi= 10.1001/jama.289.9.1150}}</ref> | | rowspan="2" |[[Pericardial disease]]<ref name="troughton">{{cite journal | author= Troughton RW, Asher CR, Klein AL | title= Pericarditis | journal= Lancet| year=2004| pages=717–27 | volume=363 | issue=9410 | pmid=15001332 | doi= 10.1016/S0140-6736(04)15648-1}}</ref><ref name="spodick">{{cite journal | author= Spodick DH | title= Acute pericarditis: current concepts and practice | journal= JAMA | year=2003 | pages=1150–3 | volume=289 | issue=9 | pmid=12622586 | doi= 10.1001/jama.289.9.1150}}</ref> | ||
|[[Acute pericarditis]] | |[[Acute pericarditis]] | ||
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** An [[Electrocardiogram|electrocardiographic]] phenomenon of alternation of [[QRS complex]] amplitude or axis between beats | ** An [[Electrocardiogram|electrocardiographic]] phenomenon of alternation of [[QRS complex]] amplitude or axis between beats | ||
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| colspan="2" |[[Myocarditis]] | | colspan="2" |[[Myocarditis]]<ref name="pmid7849377">{{cite journal |vauthors=Nakashima H, Honda Y, Katayama T |title=Serial electrocardiographic findings in acute myocarditis |journal=Intern. Med. |volume=33 |issue=11 |pages=659–66 |year=1994 |pmid=7849377 |doi= |url=}}</ref><ref name="pmid110701052">{{cite journal| author=Feldman AM, McNamara D|title=Myocarditis. | journal=N Engl J Med | year= 2000 | volume= 343 | issue= 19 | pages= 1388-98 | pmid=11070105 |doi=10.1056/NEJM200011093431908 | pmc= | url= }}</ref> | ||
<ref name="pmid7849377">{{cite journal |vauthors=Nakashima H, Honda Y, Katayama T |title=Serial electrocardiographic findings in acute myocarditis |journal=Intern. Med. |volume=33 |issue=11 |pages=659–66 |year=1994 |pmid=7849377 |doi= |url=}}</ref> | |||
<ref name="pmid110701052">{{cite journal| author=Feldman AM, McNamara D|title=Myocarditis. | journal=N Engl J Med | year= 2000 | volume= 343 | issue= 19 | pages= 1388-98 | pmid=11070105 |doi=10.1056/NEJM200011093431908 | pmc= | url= }}</ref> | |||
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The [[Electrocardiogram|ECG]] findings most commonly seen in myocarditis are: | The [[Electrocardiogram|ECG]] findings most commonly seen in myocarditis are: | ||
*[[Sinus tachycardia]] | *[[Sinus tachycardia]] | ||
Revision as of 18:09, 16 July 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
The most important and prevalent ECG findings associated with systemic lupus erythematosus (SLE) include sinus tachycardia, ST segment changes, and ventricular conduction disturbances.
Electrocardiogram
The most important and prevalent ECG findings associated with systemic lupus erythematosus (SLE) include sinus tachycardia, ST segment changes, and ventricular conduction disturbances. SLE can affect cardiaopulmonary system in different ways including pulmonary emboli development, Libman sacks endocarditis, and conduction problems. [1]
Important ECG findings in SLE patients based on prevalance:
| Cardiac complication | ECG findings | |
| Cardiomegaly |
| |
| Libman sachs endocarditis | Heart failure[2] |
|
| Myocardial infarction |
| |
| Valvular involvement [3][4] | Mitral valve stenosis |
|
| Mitral regurgitation |
| |
| aArrythmias | Ventricular arryhthmias |
|
| Supraventricular arrhythmias | ||
| Pericardial disease[5][6] | Acute pericarditis |
|
| Pericardial effusion |
| |
| Myocarditis[7][8] |
The ECG findings most commonly seen in myocarditis are:
| |
| Coronary artery disease |
| |
References
- ↑ Bourré-Tessier J, Urowitz MB, Clarke AE, Bernatsky S, Krantz MJ, Huynh T, Joseph L, Belisle P, Bae SC, Hanly JG, Wallace DJ, Gordon C, Isenberg D, Rahman A, Gladman DD, Fortin PR, Merrill JT, Romero-Diaz J, Sanchez-Guerrero J, Fessler B, Alarcón GS, Steinsson K, Bruce IN, Ginzler E, Dooley MA, Nived O, Sturfelt G, Kalunian K, Ramos-Casals M, Petri M, Zoma A, Pineau CA (2015). "Electrocardiographic findings in systemic lupus erythematosus: data from an international inception cohort". Arthritis Care Res (Hoboken). 67 (1): 128–35. doi:10.1002/acr.22370. PMID 24838943.
- ↑ Tsunakawa H, Miyamoto N, Kawabata M, Mashima S (1993). "[Electrocardiogram in heart failure]". Nippon Rinsho (in Japanese). 51 (5): 1222–32. PMID 8331790.
- ↑ Maganti K, Rigolin VH, Sarano ME, Bonow RO (2010). "Valvular heart disease: diagnosis and management". Mayo Clin Proc. 85 (5): 483–500. doi:10.4065/mcp.2009.0706. PMC 2861980. PMID 20435842.
- ↑ TROUNCE JR (1952). "The electrocardiogram in mitral stenosis". Br Heart J. 14 (2): 185–92. PMC 479442. PMID 14916061.
- ↑ Troughton RW, Asher CR, Klein AL (2004). "Pericarditis". Lancet. 363 (9410): 717–27. doi:10.1016/S0140-6736(04)15648-1. PMID 15001332.
- ↑ Spodick DH (2003). "Acute pericarditis: current concepts and practice". JAMA. 289 (9): 1150–3. doi:10.1001/jama.289.9.1150. PMID 12622586.
- ↑ Nakashima H, Honda Y, Katayama T (1994). "Serial electrocardiographic findings in acute myocarditis". Intern. Med. 33 (11): 659–66. PMID 7849377.
- ↑ Feldman AM, McNamara D (2000). "Myocarditis". N Engl J Med. 343 (19): 1388–98. doi:10.1056/NEJM200011093431908. PMID 11070105.