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001-es BibID:BIBFORM105679
035-os BibID:(scopus)85138128690 (wos)000852379900003 (cikkazonosító)219
Első szerző:Péter Andrea (kardiológus)
Cím:Subclinical systolic and diastolic myocardial dysfunction in polyphasic polymyositis/dermatomyositis : a 2-year longitudinal study / Péter Andrea, Balogh Ágnes, Csanádi Zoltán, Dankó Katalin, Griger Zoltan
Dátum:2022
ISSN:1478-6354 1478-6362
Megjegyzések:Background Cardiac involvement in patients with idiopathic inflammatory myopathies (IIM) is associated with increased morbidity and mortality risk; however, little is known about the progression of cardiac dysfunction and long-term data are scarce. In the present work, we intended to prospectively study echocardiographic parameters in patients with IIM for 2 years. Methods Twenty-eight IIM patients (41.9?1.6 years) without cardiovascular symptoms were enrolled. Patients with monophasic/polyphasic disease patterns were studied separately and compared to age-matched healthy individuals. Conventional echocardiographic and tissue Doppler imaging (TDI) parameters of systolic [LV: ejection fraction (EF), mitral annulus systolic movement (MAPSE), lateral s·) and diastolic left (mitral inflow velocities, lateral anulus velocities: e·, a·, E/e·) and right ventricular function (fractional area change: FAC, tricuspid annulus plane systolic excursion: TAPSE) were measured at the time of the diagnosis and 2 years later. Results Subclinical LV systolic dysfunction is characterized by reduced lateral s· (10.4 vs. 6.4 cm/s, p<0.05), EF (62.6?0.6%, vs. 51.7?0.7%) and MAPSE (18.5?0.6 vs. 14.5?0.6 mm) could be observed in IIM patients with polyphasic disease course 2 years after diagnosis compared to controls. Furthermore, diastolic LV function showed a marked deterioration to grade I diastolic dysfunction at 2 years in the polyphasic group (lateral e·: 12.9 ?0.6, vs. 7.4?0.3 cm/s; lateral a·: 10.7?0.3, vs. 17.3?0.8 cm/s; p<0.05) supported by larger left atrium (32.1?0.6 vs. 37.8?0.6 mm; p<0.05]. TDI measurements confirmed subclinical RV systolic dysfunction in polyphasic patients 2 years after diagnosis (FAC: 45.6?1.8%, vs. 32.7?1.4%; TAPSE: 22.7?0.5, vs. 18.1?0.3 mm; p<0.05). Similar, but not significant tendencies could be detected in patients with monophasic disease patterns. Polyphasic patients showed significantly (p<0.05) worse results compared to monophasic patients regarding EF (51.7?0.7% vs. 58.1?0.6%), lateral s· (6.4?0.4 cm/sec vs. 8.6?0.4 cm/s,), left atrium (37.8?0.6 mm vs. 33.3?0.8 mm), FAC (32.7?1.4% vs. 41.0?1.6%) and TAPSE (18.1?0.3 mm vs. 21.3?0.7 mm). Conclusions Significant subclinical cardiac dysfunction could be detected in IIM patients with polyphasic disease course 2 years after diagnosis, which identifies them as a high-risk population. TDI is a useful method to detect echocardiographic abnormalities in IIM complementing conventional echocardiography and can recognize the high cardiac risk.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Cardiac involvement
Dermatomyositis
Echocardiography
Polymyositis
Tissue Doppler imaging
Megjelenés:Arthritis Research & Therapy. - 24 : 1 (2022), p. 1-11. -
További szerzők:Balogh Ágnes (1984-) (kardiológus) Csanádi Zoltán (1960-) (kardiológus) Dankó Katalin (1952-2021) (belgyógyász, allergológus és klinikai immunológus) Griger Zoltán (1979-) (belgyógyász, allergológus és klinikai immunológus, reumatológus)
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001-es BibID:BIBFORM062133
Első szerző:Péter Andrea (kardiológus)
Cím:Echocardiographic abnormalities in new-onset polymyositis/dermatomyositis / Andrea Péter, Ágnes Balogh, Szabolcs Szilágyi, Réka Faludi, Melinda Nagy-Vincze, István Édes, Katalin Dankó
Dátum:2015
Megjegyzések:OBJECTIVE:To identify early echocardiographic abnormalities at the time of diagnosis of polymyositis (PM) and dermatomyositis (DM) and follow the echocardiographic findings during the first 3 months of therapy.METHODS:We included 30 PM/DM patients (23/7) with a mean age of 42.3 ? 1.6 years and without cardiovascular symptoms. Age-matched healthy patients served as controls. Clinical characteristics were recorded. Traditional echocardiography and tissue Doppler imaging (TDI) were performed to measure systolic [ejection fraction, right ventricular fractional area change (RV FAC), lateral and tricuspid annulus s velocities] and diastolic echocardiographic variables (mitral inflow velocities: E, A; deceleration time: DT; lateral and tricuspid annulus e', a' velocities, lateral E/e').RESULTS:The left and right ventricular systolic dysfunction detected by TDI at the time of the PM/DM diagnosis improved, and characteristic values at the end of the followup period were comparable to those of the controls (lateral s: 10.6 ? 0.2, 8.7 ? 0.4, 9.6 ? 0.3, 11.3 ? 0.2 cm/s; RV FAC: 45.2 ? 2.3, 36.9 ? 1.5, 42.2 ? 1.3, 46.9 ? 1.2%; tricuspid s: 13.3 ? 0.2, 9.5 ? 0.4, 10.3 ? 0.3, 11.6 ? 0.5 cm/s; control, 0, 1, and 3 mos, respectively). Measurements indicated the development of diastolic dysfunction at 3 mos (E/A: 1.4 ? 0.1, 1.29 ? 0.05, 1.03 ? 0.05, 0.92 ? 0.05; DT: 148.6 ? 3.6, 157.3 ? 5.7, 168.3 ? 6.0, 184.3 ? 6.2 ms; lateral e': 12.8 ? 0.3, 12.1 ? 0.5, 10.2 ? 0.6, 10.8 ? 0.8 cm/s; E/e': 5.6 ? 0.1, 5.0 ? 0.22, 6.92 ? 0.46, 7.64 ? 0.47; control, 0, 1, and 3 mos, respectively).CONCLUSION:TDI is a useful method to detect early cardiac abnormalities complementing the conventional echocardiographic measurements. LV and RV systolic dysfunction found in the acute phase significantly improved during the first 3 months of therapy; however, deterioration of diastolic dysfunction was also observed.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
DERMATOMYOSITIS
ECHOCARDIOGRAPHY
POLYMYOSITIS
SYSTOLIC AND DIASTOLIC DYSFUNCTION
TISSUE DOPPLER IMAGING
Megjelenés:The Journal of rheumatology. - 42 : 2 (2015), p. 272-281. -
További szerzők:Balogh Ágnes (1984-) (kardiológus) Szilágyi Szabolcs (1976-) (kardiológus) Faludi Réka Nagy-Vincze Melinda (1985-) (orvos) Édes István (1952-) (kardiológus) Dankó Katalin (1952-2021) (belgyógyász, allergológus és klinikai immunológus)
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Intézményi repozitóriumban (DEA) tárolt változat
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