RESUMO
Cardiovascular manifestations of Systemic Lupus Erythematosus (SLE) in 32 unselected patients, with active disease were reviewed. Primary cardiac disease manifested as pericarditis (22%), myocarditis (16%), and valvular disease (9%), was recognized along with secondary disease as heart failure with or without systemic hypertension. Comparison with previous work by others, suggest that our cases are more representative of actual clinical picture of cardiac SLE. It is interesting to notice tht 9% of our patients had valvular disease, and this alteration is only occasionally found in other Hospitals. Valvular disease is rarely noticed during life, although is highly prevalent in autopsy series. We stress the diagnosis and management of the cardiac manifestations of SLE, in order to lower the morbidity and mortality of this condition.
Assuntos
Doenças das Valvas Cardíacas/etiologia , Lúpus Eritematoso Sistêmico/complicações , Miocardite/etiologia , Pericardite/etiologia , Adolescente , Adulto , Idoso , Cardiomegalia/etiologia , Eletrocardiografia , Feminino , Bloqueio Cardíaco/etiologia , Insuficiência Cardíaca/etiologia , Humanos , Hipertensão/etiologia , Masculino , Pessoa de Meia-IdadeRESUMO
Se estudian las alteraciones cardiovasculares en 32 enfermos de lupus eritematoso sistemico con enfermedad activa bajo tratamiento. Las alteraciones primarias incluyen datos de pericarditis (22%), miocarditis (16%) y enfermedad valvular (9%). Alteraciones secundarias fueron insuficiencia cardiaca congestiva venosa, hipertension arterial sistemica y cardiopatia hipertensiva. La comparacion con estudios previos sugiere que estos datos son mas representativos de la situacion clinica habitual. Es de enfatizar que 9% de nuestros enfermos tengan enfermedad valvular, la que solo ocasionalmente se informa en otros centros. El diagnostico y tratamiento de estas complicaciones en ocasiones es dificil y es necesario pensar en ellas