Lupus & antiphospholipid syndrome

A study on the evaluation of left atrial function in lupus nephritis patients using left atrial automated functional imaging technology

LupusPublished Cross-sectional study

Authors' conclusion

The degree of LA involvement in patients with LN was significantly greater than in those with extra-renal SLE, with TG potentially serving as the only laboratory indicator capable of effectively predicting LASR.

Study context

Population
Patients with lupus nephritis (LN), patients with extra-renal systemic lupus erythematosus (SLE) and healthy controls undergoing routine echocardiography with AFILA
Participants
79 / 91 / 42
Exposure
LN vs extra-renal SLE vs healthy controls
  • LNn = 79
  • Extra-renal SLEn = 91
  • Healthy controlsn = 42reference
Outcome
LA strain (AFILA): LASR, LASCD, LASCT

Main finding

As reported in the abstract

GroupValueLASCDLASCT
LN22.00%−14.00%−9.00%
Extra-renal SLE27.00%−17.00%−10.00%
Healthy controls36.00%−24.00%−14.00%

Value

LN22.00%
Extra-renal SLE27.00%
Healthy controls36.00%

LASCD

LN−14.00%
Extra-renal SLE−17.00%
Healthy controls−24.00%

LASCT

LN−9.00%
Extra-renal SLE−10.00%
Healthy controls−14.00%
  • LN vs Extra-renal SLE: P < 0.001 — three-group comparison of LASR, LASCD and LASCT, each p < .001; per_group value is LASR

Observational data: associations, not effects.

Further findings

Independent association of triglycerides (TG) with LASR in LN (multiple regression)

TG β[SE]
−1.025 [0.370], p = .007
  • TG the sole laboratory indicator independently associated with LASR

Original publication

A study on the evaluation of left atrial function in lupus nephritis patients using left atrial automated functional imaging technology. Lupus. Published 10 June 2025. doi:10.1177/09612033251346342

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