Systemic lupus erythematosus electrocardiogram

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mahshid Mir, M.D. [2]

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
http://ecg.utah.edu/img_index Courtesy dedicated to ecg.utah.edu
Libman sacks endocarditis Heart failure
  • P wave changes
  • R wave height changes
    • Primary increase
    • Decrease after progression
http://ecg.utah.edu/img_index Courtesy dedicated to ecg.utah.edu
Myocardial infarction
http://ecg.utah.edu/img_index Courtesy dedicated to ecg.utah.edu
Valvular involvement Mitral valve stenosis
http://ecg.utah.edu/img_index Courtesy dedicated to ecg.utah.edu
Mitral regurgitation
http://ecg.utah.edu/img_index Courtesy dedicated to ecg.utah.edu
Arrhythmias AV Blocks
http://ecg.utah.edu/img_index Courtesy dedicated to ecg.utah.edu

http://ecg.utah.edu/img_index Courtesy dedicated to ecg.utah.edu
Supraventricular arrhythmias
http://ecg.utah.edu/img_index Courtesy dedicated to ecg.utah.edu
Pericardial disease Acute pericarditis
http://ecg.utah.edu/img_index Courtesy dedicated to ecg.utah.edu
Pericardial effusion
https://en.wikipedia.org/wiki/Pericardial_effusion Courtesy dedicated to wikipedia
Myocarditis

The ECG findings most commonly seen in myocarditis are:

https://en.wikipedia.org/wiki/Myocarditis Courtesy dedicated to wikipedia
Coronary artery disease
http://ecg.utah.edu/img_index Courtesy dedicated to ecg.utah.edu

References

  1. 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.
  2. Tsunakawa H, Miyamoto N, Kawabata M, Mashima S (1993). "[Electrocardiogram in heart failure]". Nippon Rinsho (in Japanese). 51 (5): 1222–32. PMID 8331790.
  3. 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.
  4. TROUNCE JR (1952). "The electrocardiogram in mitral stenosis". Br Heart J. 14 (2): 185–92. PMC 479442. PMID 14916061.
  5. Nakashima H, Honda Y, Katayama T (1994). "Serial electrocardiographic findings in acute myocarditis". Intern. Med. 33 (11): 659–66. PMID 7849377.
  6. Feldman AM, McNamara D (2000). "Myocarditis". N Engl J Med. 343 (19): 1388–98. doi:10.1056/NEJM200011093431908. PMID 11070105.
  7. Troughton RW, Asher CR, Klein AL (2004). "Pericarditis". Lancet. 363 (9410): 717–27. doi:10.1016/S0140-6736(04)15648-1. PMID 15001332.
  8. Spodick DH (2003). "Acute pericarditis: current concepts and practice". JAMA. 289 (9): 1150–3. doi:10.1001/jama.289.9.1150. PMID 12622586.

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