Systemic vasculitides can involve, by definition, any organ including the heart. The clinical presentation of a cardiovascular involvement may vary from mild blood pressure alterations rate to harmful coronaric occlusion and acute myocardial infarction. This review addresses the most significant features of cardiac involvement in the systemic vasculitis. In polyarteritis nodosa (PAN) the hypertension or the coronaric involvement are a frequent cardiac manifestation of the disease. Pericarditis and acute myocardial infarction occurring as a cardiac complication of microscopic polyangiitis (MP), which is now a different clinical entity from PAN, are reviewed. In Churg-Strauss syndrome (CSS) some types of cardiac involvement have been described, as well as the efficacy of immunosuppressive therapy in the treatment of restrictive cardiomyopathy. In Schonlein-Henoch purpura (PHS) the cardiomyopathy is rare but IgA cardiac involvement has been described. In Behçet's disease the cardiac involvement is represented by some types of cardiomyopathy; echocardiographic study have reported an important cardiac involvement in the second/third decade age-group. In Wegener' granulomatosis (WG) the most common manifestations include pericarditis and coronary arteritis but valvulitis, and arrhythmias have also been reported.
|Translated title of the contribution||The cardiac involvement in systemic vasculitides|
|Number of pages||6|
|Journal||Progressi in Reumatologia|
|Publication status||Published - 2002|
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