Left Atrial Strain in Patients With Systemic Lupus Erythematosus

Abstract

Background: In patients with systemic lupus erythematosus (SLE), left ventricle diastolic dysfunction (LVDD) may be the only manifestation of cardiac involvement in anticipation of systolic dysfunction. It has been seen that myocardial deformation of the left atrium (LA), through the LA global longitudinal strain (LAGLS), may be useful in assessing diastolic function.

Objective: To evaluate LA function through myocardial deformation in patients with LES, and compare the LA strain in patients with active, inactive and controls.

Methods: Fifty patients with SLE were included and compared with 50 healthy controls paired by age and gender. Myocardial deformation was measured by transthoracic echocardiogram, to investigate the LAGLS, the strain of the three phases of the LA cycle and the strain rate. The differences between groups were compared in univariate analysis.

Results: LAGLS in SLE patients was less than in the controls (41.6% vs. 50.5%; p=.02), and in the 3 phases of the LA cycle. There were no differences in the LA strain rate in both groups (SLE 2.5s^-1 vs. controls 2.75s^-1; p=.1). It was also found that the LAGLS was lesser in active patients than controls and inactive.

Conclusions: SLE patients have lower myocardial deformation of the LA, which is expressed as a lower diastolic function correlating with early subclinical myocardial damage.

Keywords: Diastolic dysfunction; Disfunción diastólica; Left atrial global longitudinal strain; Lupus eritematoso sistémico; Mex-SLEDAI; Strain longitudinal global aurícula izquierda; Systemic lupus erythematosus.