Skip to main content
. 2017 May 10;4(2):9–19. doi: 10.1530/ERP-17-0005

Table 3.

Echocardiographic findings at diagnosis (initial) and most recent echocardiogram (latest) following treatment for lupus myocarditis.

Initial echocardiogram in lupus myocarditis group Latest echocardiogram in lupus myocarditis group
Total n = 19 Median (IQR)/ratio (%) of test done Median (IQR)/ratio (%) of test done P value
Structural parameter
 LAa diameter (cm) 3.3 (2.8–3.9) 3 (2.5–3.4) 0.088
 LVIDb (cm) 5.3 (4.5–5.6) 4.8 (4.0–5.6) 0.106
 RVIDc (cm) 3.1 (3.0–3.9) 3 (2.6–3.2) 0.071
 Valvular dysfunction (mild/moderate) 10/19 (52.6) MR 5/19 (26.3) MR
5/17 (29.4) TR 5/17 (29.4) TR
 Pericardial effusion 6/18 (33.3) small Small 2/18 (11.1)
1/18 (5.6) large
Regional function parameter
 RWMA present 17/17 (100) 16/17 (94.1)
 Wall motion scored 1.88 (1.69–2.38) 1.50 (1.31–2.00) 0.017
Global function parameter
 MA E′avee (cm/s) 8.0 (6.0–11.0) 8.8 (5.8–10.0) 0.649
 MA E/E′f 11.6 (10.0–16.2) 10 (7.75–15.8) 0.281
 LVEFg: numerical (%) 35 (32–46) 47 (37–50) 0.023
 LVEF: categorical
  ≥55% 0/19 (0) 3/19 (15.8)
  45–54% 5/19 (26.3) 10/19 (52.6)
  36–44% 4/19 (21.1) 2/19 (10.5)
  ≤35% 10/19 (52.6) 4/19 (21.1)
 TAPSEh (cm) 1.9 (1.6–2.1) 1.7 (1.6–2.0) 0.395
 Impaired GLSi 13/13 (100) 13/13 (100)
 GLS(%) −13.0 (−13.5 to −10.3) −15 (−14 to −5) 0.47
a

LA diameter: normal ≤3.8 cm; bLVID: normal ≤5.3 cm; cRVID: normal ≤4.2 cm; dWall motion score increased if >1; eMA E′ average: normal <8 cm/s; fMA E/E′: normal <8; increased LV filling pressure >15; gLVEF: normal ≥55%; mild impairment: 45–54%; moderate impairment: 36–44%; severe impairment: ≤35%; hTAPSE: normal ≥1.6 cm; iGLS: normal −19.7% (95% CI, −20.4 to −18.9%).

E′ave, early diastolic mitral annular velocity, average of lateral and septal measurement; E/E′, ratio of mitral peak velocity of early filling (E) to early diastolic mitral annular velocity (E′); GLS, global longitudinal strain; IQR, interquartile range; LA, left atrium; LVEF, left ventricular ejection fraction; LVID, left ventricular internal diameter; MA, mitral annular; MR, mitral regurgitation; RVID, right ventricular internal diameter; RWMA, regional wall motion abnormalities; TAPSE, tricuspid annular plane systolic excursion; TR, tricuspid regurgitation.