Cardiac imaging techniques in systemic autoimmune diseases

Maurizio Turiel, R. Peretti, P. Sarzi-Puttini, F. Atzeni, A. Doria

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Systemic autoimmune disorders are frequently associated to cardiac involvement and to a high prevalence of ischemic coronary events, often occurring at a younger age than in the normal population. Large increase in mortality is related to premature atherosclerosis with coronary artery disease and stroke in patients with connective tissue diseases. Coronary heart disease is responsible for 40-50% of the deaths of patients with rheumatoid arthritis. Transesophageal or transthoracic echocardiography are the most useful and noninvasive techniques able to detect not only valvular abnormalities, embolic sources or pulmonary hypertension, but also left ventricular systolic or diastolic dysfunction. Furthermore, the introduction of new indexes, contrast agents and software increased the accuracy of this technique. It is possible now to evaluate coronary flow reserve by transthoracic echocardiography in patients with systemic autoimmune disease in order to detect microvasculature disorder. However, an ischemic response in a symptomatic patient requires, in most cases, further evaluation with cardiac catheterization. Coronary artery imaging allows confirmation of the presence, extent and position of atheromatous lesions. More recently, other imaging modalities including magnetic resonance and computerized tomography angiography have been developed to allow imaging of the coronary arteries.

Original languageEnglish
Pages (from-to)727-731
Number of pages5
JournalLupus
Volume14
Issue number9
DOIs
Publication statusPublished - 2005

Fingerprint

Cardiac Imaging Techniques
Autoimmune Diseases
Echocardiography
Coronary Vessels
Connective Tissue Diseases
Transesophageal Echocardiography
Cardiac Catheterization
Microvessels
Pulmonary Hypertension
Contrast Media
Coronary Disease
Coronary Artery Disease
Rheumatoid Arthritis
Atherosclerosis
Angiography
Magnetic Resonance Spectroscopy
Software
Stroke
Tomography
Mortality

Keywords

  • Cardiac involvement
  • Coronary flow reserve
  • Echocardiography
  • Noninvasive imaging
  • Systemic autoimmune disease

ASJC Scopus subject areas

  • Rheumatology
  • Immunology

Cite this

Turiel, M., Peretti, R., Sarzi-Puttini, P., Atzeni, F., & Doria, A. (2005). Cardiac imaging techniques in systemic autoimmune diseases. Lupus, 14(9), 727-731. https://doi.org/10.1191/0961203305lu2209oa

Cardiac imaging techniques in systemic autoimmune diseases. / Turiel, Maurizio; Peretti, R.; Sarzi-Puttini, P.; Atzeni, F.; Doria, A.

In: Lupus, Vol. 14, No. 9, 2005, p. 727-731.

Research output: Contribution to journalArticle

Turiel, M, Peretti, R, Sarzi-Puttini, P, Atzeni, F & Doria, A 2005, 'Cardiac imaging techniques in systemic autoimmune diseases', Lupus, vol. 14, no. 9, pp. 727-731. https://doi.org/10.1191/0961203305lu2209oa
Turiel, Maurizio ; Peretti, R. ; Sarzi-Puttini, P. ; Atzeni, F. ; Doria, A. / Cardiac imaging techniques in systemic autoimmune diseases. In: Lupus. 2005 ; Vol. 14, No. 9. pp. 727-731.
@article{2bc20caba6c448af8f51447dc8956a89,
title = "Cardiac imaging techniques in systemic autoimmune diseases",
abstract = "Systemic autoimmune disorders are frequently associated to cardiac involvement and to a high prevalence of ischemic coronary events, often occurring at a younger age than in the normal population. Large increase in mortality is related to premature atherosclerosis with coronary artery disease and stroke in patients with connective tissue diseases. Coronary heart disease is responsible for 40-50{\%} of the deaths of patients with rheumatoid arthritis. Transesophageal or transthoracic echocardiography are the most useful and noninvasive techniques able to detect not only valvular abnormalities, embolic sources or pulmonary hypertension, but also left ventricular systolic or diastolic dysfunction. Furthermore, the introduction of new indexes, contrast agents and software increased the accuracy of this technique. It is possible now to evaluate coronary flow reserve by transthoracic echocardiography in patients with systemic autoimmune disease in order to detect microvasculature disorder. However, an ischemic response in a symptomatic patient requires, in most cases, further evaluation with cardiac catheterization. Coronary artery imaging allows confirmation of the presence, extent and position of atheromatous lesions. More recently, other imaging modalities including magnetic resonance and computerized tomography angiography have been developed to allow imaging of the coronary arteries.",
keywords = "Cardiac involvement, Coronary flow reserve, Echocardiography, Noninvasive imaging, Systemic autoimmune disease",
author = "Maurizio Turiel and R. Peretti and P. Sarzi-Puttini and F. Atzeni and A. Doria",
year = "2005",
doi = "10.1191/0961203305lu2209oa",
language = "English",
volume = "14",
pages = "727--731",
journal = "Lupus",
issn = "0961-2033",
publisher = "SAGE Publications Ltd",
number = "9",

}

TY - JOUR

T1 - Cardiac imaging techniques in systemic autoimmune diseases

AU - Turiel, Maurizio

AU - Peretti, R.

AU - Sarzi-Puttini, P.

AU - Atzeni, F.

AU - Doria, A.

PY - 2005

Y1 - 2005

N2 - Systemic autoimmune disorders are frequently associated to cardiac involvement and to a high prevalence of ischemic coronary events, often occurring at a younger age than in the normal population. Large increase in mortality is related to premature atherosclerosis with coronary artery disease and stroke in patients with connective tissue diseases. Coronary heart disease is responsible for 40-50% of the deaths of patients with rheumatoid arthritis. Transesophageal or transthoracic echocardiography are the most useful and noninvasive techniques able to detect not only valvular abnormalities, embolic sources or pulmonary hypertension, but also left ventricular systolic or diastolic dysfunction. Furthermore, the introduction of new indexes, contrast agents and software increased the accuracy of this technique. It is possible now to evaluate coronary flow reserve by transthoracic echocardiography in patients with systemic autoimmune disease in order to detect microvasculature disorder. However, an ischemic response in a symptomatic patient requires, in most cases, further evaluation with cardiac catheterization. Coronary artery imaging allows confirmation of the presence, extent and position of atheromatous lesions. More recently, other imaging modalities including magnetic resonance and computerized tomography angiography have been developed to allow imaging of the coronary arteries.

AB - Systemic autoimmune disorders are frequently associated to cardiac involvement and to a high prevalence of ischemic coronary events, often occurring at a younger age than in the normal population. Large increase in mortality is related to premature atherosclerosis with coronary artery disease and stroke in patients with connective tissue diseases. Coronary heart disease is responsible for 40-50% of the deaths of patients with rheumatoid arthritis. Transesophageal or transthoracic echocardiography are the most useful and noninvasive techniques able to detect not only valvular abnormalities, embolic sources or pulmonary hypertension, but also left ventricular systolic or diastolic dysfunction. Furthermore, the introduction of new indexes, contrast agents and software increased the accuracy of this technique. It is possible now to evaluate coronary flow reserve by transthoracic echocardiography in patients with systemic autoimmune disease in order to detect microvasculature disorder. However, an ischemic response in a symptomatic patient requires, in most cases, further evaluation with cardiac catheterization. Coronary artery imaging allows confirmation of the presence, extent and position of atheromatous lesions. More recently, other imaging modalities including magnetic resonance and computerized tomography angiography have been developed to allow imaging of the coronary arteries.

KW - Cardiac involvement

KW - Coronary flow reserve

KW - Echocardiography

KW - Noninvasive imaging

KW - Systemic autoimmune disease

UR - http://www.scopus.com/inward/record.url?scp=26244465470&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=26244465470&partnerID=8YFLogxK

U2 - 10.1191/0961203305lu2209oa

DO - 10.1191/0961203305lu2209oa

M3 - Article

C2 - 16218476

AN - SCOPUS:26244465470

VL - 14

SP - 727

EP - 731

JO - Lupus

JF - Lupus

SN - 0961-2033

IS - 9

ER -