SLE Clinical Trial
Official title:
QT Dispersion in Patients With Systemic Lupus Erythematosus: the Impact of Disease Activity
QT dispersion can be a useful, simple noninvasive method for the early detection of cardiac involvement in SLE patients with active disease. The investigators therefore recommend cardiovascular evaluation for every SLE patient with an SLEDAI higher than 10.
Objective: Patients with systemic lupus erythematosus (SLE) have increased cardiovascular
morbidity and mortality. Although autopsy studies have documented that the heart is affected
in most SLE patients, clinical manifestations occur in less than 10%. QT dispersion is a new
parameter that can be used to assess homogeneity of cardiac repolarization and autonomic
function. We compared the increase in QT dispersion in SLE patients with high disease
activity and mild or moderate disease activity.
Methods: One hundred twenty-four patients with SLE were enrolled in the study. Complete
history and physical exam, ECG, echocardiography, exercise test and SLE disease activity
index (SLEDAI) were recorded. Twenty patients were excluded on the basis of our exclusion
criteria. The patients were divided to two groups based on SLEDAI: 54 in the high-score
group (SLEDAI >10) and 50 in the low-score group (SLEDAI <10).
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Observational Model: Case Control, Time Perspective: Prospective
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