Table 1.
Overview of Prevention and Treatment Studies in Cardiac Neonatal Lupus
Study | Intervention | Number of Participants | Outcomes |
---|---|---|---|
Izmirly et al16 Eliasson et al22 |
FS use in cases with 2nd degree AV Block (R) | 20 treated, 16 untreated | Higher percentage reverting to 1st degree AV block or normal sinus rhythm in treated group (p=0.053) |
Izmirly27 | FS use in cases with hydrops fetalis (R) | 27 treated, 10 untreated | Lower 6 month mortality in treated group (p=0.059) |
Jaeggi21 | FS use in cases at diagnosis of heart block (R) | 21 treated, 16 untreated | Lower 1 year mortality in treated group (p<0.02) |
Eliasson22 | FS use in cases with 2nd and 3rd degree AV block (R) | 67 treated, 108 untreated | No significant difference in mortality between groups |
Buyon et al43 Pisoni et al46 |
IVIG 400 mg/kg q3weeks from GW 12–24 in mothers with previous cardiac NL child (P) | 33 treated | 6 cases of cardiac NL (18% recurrence rate) |
Izmirly55 | HCQ exposure throughout pregnancy in mothers with previous cardiac NL child (R) | 40 treated, 217 untreated | Decreased recurrence rate of cardiac NL in treated group (p=0.050) |
FS = Fluorinated Steroids; AV = atrioventricular; IVIG = Intravenous Immunoglobulin; HCQ = Hydroxychloroquine; R = Retrospective Analysis; P = Prospective Study; GW = ________________________________