Lupus & antiphospholipid syndrome

Cardiovascular magnetic resonance as an initial screening tool in individuals with SLE and chest pain

Lupus Sci MedPublished Cross-sectional study

Authors' conclusion

This cross-sectional study highlights cardiac ischaemia as a cause of chest symptoms in SLE. Notably, CAD and CMD were together more common than pericarditis and myocarditis.

Study context

Population
Adults with SLE reporting chest pain or dyspnoea suggestive of cardiac involvement to a rheumatologist, 2018–202384% female
Participants
19 adults
Outcome
CAD, CMD, pericarditis and myocarditis identified by CMR
Methodological details14 (74%) examined using adenosine stress
  • 14 (74%) examined using adenosine stress

Main finding

As reported in the abstract

Diagnoses identified by CMR
Coronary artery disease (CAD) (of 14 with adenosine stress)
3/14 (21%)
Coronary microvascular dysfunction (CMD) (of 14 with adenosine stress)
2/14 (14%)
Pericarditis
3/19 (16%)
Myocarditis
0
No cause of chest symptoms revealed
12/19 (63%)

Observational data: associations, not effects.

Further findings

Cardiovascular magnetic resonance (CMR) results led to altered medical management

Altered medical management
6/19 (32%)

Original publication

Cardiovascular magnetic resonance as an initial screening tool in individuals with SLE and chest pain. Lupus Sci Med. Published 10 November 2025. doi:10.1136/lupus-2025-001652

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