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Pulmonary hypertension in systemic lupus erythematosus: Echocardiography-based definitions predict 6-year survival

机译:系统性红斑狼疮的肺动脉高压:基于超声心动图的定义可预测6年生存率

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Objective: The aim of this study was to investigate whether a core of echocardiography-based definitions of pulmonary hypertension (PH), as proposed by the European Society of Cardiology, European Respiratory Society and International Society of Heart and Lung Transplantation (ESC/ERS/ISHLT), may predict long-term survival in patients with SLE. Methods: A post hoc analysis from a cohort of SLE patients followed over 6 years was performed. Clinical associations, serum biomarkers, autoantibody profile, length of survival and all-cause mortality were assessed. Results: Out of 115 patients from the original cohort, 55 satisfied our inclusion criteria and were grouped according to echocardiography as unlikely (n = 26), possible (n = 16) or likely (n = 13) to have PH. Likely PH was associated with a history of pulmonary thromboembolism, higher cumulated organ damage and active arthritis. The 6-year survival rate was 88% in the unlikely PH group, 87% in the possible PH group and 68% in the likely PH group (P<0.05). Serum levels of endothelin-1, monocyte chemotactic protein-1, IL-17, and IFN-γ as well as a number of autoantibodies were no different between groups. Conclusion: The ESC/ERS/ISHLT echocardiography-based definitions of PH are useful to predict 6-year mortality in SLE patients. A history of pulmonary thromboembolism and lung vasculitis/haemorrhage, cumulated organ damage and long-lasting disease are associated with PH in SLE.
机译:目的:本研究的目的是调查是否由欧洲心脏学会,欧洲呼吸学会和国际心肺移植学会(ESC / ERS ​​/)提出的基于超声心动图的肺动脉高压(PH)定义的核心ISHLT),可以预测SLE患者的长期生存。方法:对6年以上的SLE患者进行事后分析。评估临床关联,血清生物标志物,自身抗体谱,生存时间和全因死亡率。结果:在最初队列的115名患者中,有55名满足我们的纳入标准,并根据超声心动图将其分为可能性(n = 26),可能(n = 16)或可能性(n = 13)。 PH可能与肺血栓栓塞,更严重的器官损伤和活动性关节炎病史有关。不太可能的PH组的6年生存率为88%,可能的PH组为87%,可能的PH组为68%(P <0.05)。两组之间的血清内皮素-1,单核细胞趋化蛋白-1,IL-17和IFN-γ以及多种自身抗体水平无差异。结论:基于ESC / ERS ​​/ ISHLT超声心动图的PH定义可用于预测SLE患者的6年死亡率。 SLE的PH与肺血栓栓塞和肺血管炎/出血史,器官累积损伤和长期疾病史相关。

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