Lupus & antiphospholipid syndrome

Assessment of myocardial dysfunction of patients with systemic lupus erythematosus based on myocardial perfusion imaging and analysis of potential influencing factors

LupusPublished Prospective case-control study

Main finding · Incidence of myocardial dysfunctionResult — go to the resultχ2 16.131

Authors' conclusion

Positive anti-SSA/Ro52kDa antibody was an independent risk factor for myocardial dysfunction in SLE patients.

Study context

Population
Patients with systemic lupus erythematosus (SLE) evaluated by 99mTc-MIBI rest gated myocardial perfusion imaging (rGMPI)
Participants
76 vs 46
Comparison
SLE vs controls without autoimmune or other inflammatory diseases
  • SLEn = 76
  • Controlsn = 46reference
Outcome
Myocardial dysfunction on 99mTc-MIBI rGMPI

Main finding

Incidence of myocardial dysfunction

χ2

16.131

P < 0.001

By group

As reported in the abstract

Observational data: associations, not effects.

Further findings

Positive anti-SSA/Ro52kDa antibody, independent correlation with myocardial dysfunction in SLE

OR (95% CI)P value
Positive anti-SSA/Ro52kDa antibody3.159 (1.071–9.316)P = 0.037

Factors associated with impaired myocardial function in SLE

Moderate/severe disease activity, OR (p = .049)
2.753
Decreased myocardial perfusion, OR (p = 0.015)
5.359
Positive anti-SSA/Ro52kDa antibody, OR (p = 0.014)
3.646

Original publication

Assessment of myocardial dysfunction of patients with systemic lupus erythematosus based on myocardial perfusion imaging and analysis of potential influencing factors. Lupus. Published 14 April 2025. doi:10.1177/09612033251335808

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