Lupus & antiphospholipid syndrome

Foetal echocardiographic surveillance in anti-SSA/Ro-SSB/La-positive SLE pregnancies: risk stratification of congenital heart block

Rheumatology (Oxford)Published Retrospective cohort study

Authors' conclusion

SLE pregnancies with anti-SSA/Ro-SSB/La antibodies and suboptimal gestational conditions constitute a distinct high-risk subgroup.

Study context

Population
SLE pregnancies with positive anti-SSA/Ro-SSB/La antibodies
Participants
50 pregnancies
Exposure
Suboptimal vs optimal pre-gestational conditions
  • Group 2n = 19
  • Group 1n = 31reference
Outcome
Incidence of foetal cardiac conduction abnormalities
Methodological detailsserial foetal echocardiography with atrioventricular interval (AVI) measurement, stratified by pre-gestational conditions
  • Serial foetal echocardiography with AVI measurement
  • Stratified by pre-gestational conditions

Main finding

As reported in the abstract

Foetal cardiac conduction abnormalities

P = 0.024

Overall incidence
12% (6/50)

Observational data: associations, not effects.

Further findings

Course of conduction abnormalities under monitoring

Persistent AVI prolongation treated with dexamethasone and IV immunoglobulin, progression to advanced heart block prevented
1
Normalized spontaneously on short-term follow-up
5

Original publication

Foetal echocardiographic surveillance in anti-SSA/Ro-SSB/La-positive SLE pregnancies: risk stratification of congenital heart block. Rheumatology (Oxford). Published 6 February 2026. doi:10.1093/rheumatology/keag077

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