Lupus & antiphospholipid syndrome

The prognosis and management of reclassified systemic lupus erythematosus associated pulmonary arterial hypertension according to 2022 ESC/ERS guidelines

Arthritis Res TherPublished Retrospective cohort study

Authors' conclusion

This study supports the revised hemodynamic definition of SLE-PAH in the 2022 ESC/ERS guideline.

Study context

Population
SLE-PAH patients at Peking Union Medical College Hospital (PUMCH), 2011 to 2023
Participants
236 patients
Exposure
Mild SLE-PAH and unclassified SLE-PH vs conventional SLE-PAH
  • Mild SLE-PAHn = 22
  • Unclassified SLE-PAHn = 14
Outcome
Prognosis (progression-free time)
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Progression-free time
  • Mild SLE-PAH had significantly longer progression-free time than conventional SLE-PAH

Observational data: associations, not effects.

Further findings

Prognosis in mild SLE-PAH without pulmonary arterial hypertension (PAH)-specific therapy (subgroup)

4 mild SLE-PAH patients did not receive PAH-specific therapy and had a similar prognosis as patients not receiving specific therapy

Original publication

The prognosis and management of reclassified systemic lupus erythematosus associated pulmonary arterial hypertension according to 2022 ESC/ERS guidelines. Arthritis Res Ther. Published 27 May 2024. doi:10.1186/s13075-024-03338-1

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