Articles Vol. 66 No. CĐ12-NCKH 01/08/2025

1. ULTRASOUND ASSESSMENT OF CARDIAC STRESS IN PATIENTS WITH SYSTEMIC LUPUS ERYTHEMATOSUS

Quach Khanh Linh1,2, Do Doan Loi3,4, Do Kim Bang5,6, Bui Hong Anh7,8, Vu Phi Hung7,8
1 Hanoi Medical University
2 Trường Đại học Y Hà Nội
3 Department of Cardiology, Hanoi Medical University
4 Bộ môn Tim mạch, Trường Đại học Y Hà Nội
5 Vietnam National Heart Institute, Bach Mai Hospital
6 Viện Tim mạch Việt Nam, Bệnh viện Bạch Mai
7 Thai Binh University of Medicine and Pharmacy
8 Trường Đại học Y Dược Thái Bình
Corresponding author: quachlinh12@gmail.com
DOI: 10.52163/yhc.v66iCD12.2919
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Abstract

Objective: To evaluate left ventricular global longitudinal strain in patients with systemic lupus erythematosus, and to identify factors associated with impaired global longitudinal strain in this population.

Methods: A cross-sectional study was conducted on 69 systemic lupus erythematosus patients diagnosed according to the SLICC (2012) or EULAR (2019) criteria. All patients underwent two-dimensional speckle tracking echocardiography using GE Vivid S70 (with AFI software). Global longitudinal strain was measured from three apical views: 2-chamber, 3-chamber, and 4-chamber. Clinical data, laboratory parameters, SLEDAI scores, and disease activity levels were collected and analyzed.

Results: The mean global longitudinal strain was -18.5 ± 3.3%. When classified using a threshold of -18%, 40.6% of patients (28/69 = 40.6%) had reduced global longitudinal strain, reflecting a high prevalence of subclinical myocardial dysfunction. Reduced global longitudinal strain was more common in patients with renal impairment, proteinuria, elevated SLEDAI score, low EF, and decreased septal e’ velocity.

Conclusion: Global longitudinal strain is a valuable and sensitive tool for early detection of subclinical left ventricular dysfunction in systemic lupus erythematosus. Routine global longitudinal strain monitoring is recommended for high-risk patients, such as those with high disease activity, nephrotic syndrome, hypertension, or elevated BMI and heart rate.

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