Systemic lupus erythematosus electrocardiogram: Difference between revisions
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* [[Left anterior fascicular block]] | * [[Left anterior fascicular block]] | ||
* [[Left posterior fascicular block]] | * [[Left posterior fascicular block]] | ||
|[[File:Ggddh.gif|200px|thumb|'''http://ecg.utah.edu/img_index''' Courtesy dedicated to ecg.utah.edu]] | |[[File:Ggddh.gif|200px|thumb|'''http://ecg.utah.edu/img_index''' Courtesy dedicated to ecg.utah.edu]]<br> | ||
[[File:80 RVH and LAcxE in mitral stenosis.jpg|200px|thumb|'''http://ecg.utah.edu/img_index''' Courtesy dedicated to ecg.utah.edu]] | |||
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| style="background: #DCDCDC; " |[[Supraventricular arrhythmias]] | | style="background: #DCDCDC; " |[[Supraventricular arrhythmias]] | ||
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* [[Electrical alternans]] | * [[Electrical alternans]] | ||
** 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 | ||
| | |[[File:Electrical Alternans.jpg|200px|thumb|'''https://en.wikipedia.org/wiki/Pericardial_effusion''' Courtesy dedicated to wikipedia]] | ||
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| colspan="2" style="background: #DCDCDC; " |[[Myocarditis]] | | colspan="2" style="background: #DCDCDC; " |[[Myocarditis]] | ||
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*Low voltage of the [[QRS]] complexes | *Low voltage of the [[QRS]] complexes | ||
*[[Arrhythmias]] such as [[atrial]] or [[ventricular]] ectopic beats, [[atrial]] or [[Ventricular Tachycardia|ventricular tachycardias]], and [[atrial fibrillation]] | *[[Arrhythmias]] such as [[atrial]] or [[ventricular]] ectopic beats, [[atrial]] or [[Ventricular Tachycardia|ventricular tachycardias]], and [[atrial fibrillation]] | ||
| | |[[File:PericarditisMyocarditis.jpg|200px|thumb|'''https://en.wikipedia.org/wiki/Myocarditis''' Courtesy dedicated to wikipedia]] | ||
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| colspan="2" style="background: #DCDCDC; " |[[Coronary heart disease|Coronary artery disease]] | | colspan="2" style="background: #DCDCDC; " |[[Coronary heart disease|Coronary artery disease]] | ||
| | |[[File:Jkhhk.jpg|200px|thumb|'''http://ecg.utah.edu/img_index''' Courtesy dedicated to ecg.utah.edu]] | ||
* Exercise tolerance test findings include: | * Exercise tolerance test findings include: | ||
** [[ST segment changes]] | ** [[ST segment changes]] | ||
Revision as of 00:20, 23 August 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
The most common and important ECG findings associated with systemic lupus erythematosus (SLE) include sinus tachycardia, ST segment changes, and ventricular conduction disturbances. Other ECG findings are related to late complications of SLE and may range based on the complication.
Electrocardiogram
The most common and important ECG findings associated with systemic lupus erythematosus (SLE) include sinus tachycardia, ST segment changes, and ventricular conduction disturbances. SLE can affect cardiopulmonary system in different ways including pulmonary emboli development, Libman sacks endocarditis, and conduction problems.[1][2][3][4][5][6][7][8]
Important ECG findings in SLE patients based on cardiac complication:
| Cardiac complication | ECG findings | ECG examples | |
| Cardiomegaly |
|
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| Libman sacks endocarditis | Heart failure |  | |
| Myocardial infarction |
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| Valvular involvement | Mitral valve stenosis |
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| Mitral regurgitation |
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| Arrhythmias | AV Blocks |   | |
| Supraventricular arrhythmias |  | ||
| Pericardial disease | Acute pericarditis |
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| Pericardial effusion |
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 | |
| Myocarditis |
The ECG findings most commonly seen in myocarditis are:
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| Coronary artery disease | 
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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.
- ↑ 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.
- ↑ 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.