Makavos George, Varoudi Maria, Papangelopoulou Konstantina, Kapniari Eirini, Plotas Panagiotis, Ikonomidis Ignatios, Papadavid Evangelia
Second Cardiology Department, Attikon Hospital, Medical School, National and Kapodistrian University of Athens, 12462 Athens, Greece.
Second Department of Dermatology and Venereology, Attikon Hospital, Medical School, National and Kapodistrian University of Athens, 12462 Athens, Greece.
Medicina (Kaunas). 2020 Sep 1;56(9):445. doi: 10.3390/medicina56090445.
Autoimmune rheumatic diseases are systemic diseases frequently affecting the heart and vessels. The main cardiovascular complications are pericarditis, myocarditis, valvular disease, obstructive coronary artery disease and coronary microcirculatory dysfunction, cardiac failure and pulmonary hypertension. Echocardiography, including transthoracic two and three-dimensional echocardiography, Doppler imaging, myocardial deformation and transesophageal echo, is an established and widely available imaging technique for the identification of cardiovascular manifestations that are crucial for prognosis in rheumatic diseases. Echocardiography is also important for monitoring the impact of drug treatment on cardiac function, coronary microcirculatory function, valvular function and pulmonary artery pressures. In this article we summarize established and evolving knowledge on the role of echocardiography for diagnosis and prognosis of cardiovascular abnormalities in rheumatic diseases.
自身免疫性风湿性疾病是经常影响心脏和血管的全身性疾病。主要的心血管并发症包括心包炎、心肌炎、瓣膜病、阻塞性冠状动脉疾病和冠状动脉微循环功能障碍、心力衰竭和肺动脉高压。超声心动图，包括经胸二维和三维超声心动图、多普勒成像、心肌变形和经食管超声心动图，是一种既定且广泛应用的成像技术，用于识别对风湿性疾病预后至关重要的心血管表现。超声心动图对于监测药物治疗对心脏功能、冠状动脉微循环功能、瓣膜功能和肺动脉压力的影响也很重要。在本文中，我们总结了关于超声心动图在风湿性疾病心血管异常诊断和预后方面作用的既定和不断发展的知识。
