Research Article

Cardiac Manifestations in Systemic Lupus Erythematosus: Clinical Correlates of Subclinical Echocardiographic Features

Table 1

Patients’ demographics and disease characteristics.

ParametersTotal No=59
No. (%)

DemographicAge/ age at diagnosis (years) #31.3±10.5 / 27.5± 10.1
Female gender51 (86.4%)
Smoking2 (3.4%)
Disease duration (years) #5.18 ± 4.1

Clinical profileSystolic / Diastolic BP§120/80 (110-130/70-90)
 (i) Systolic hypertension3 (5.1%)
 (ii) Diastolic hypertension21 (35.6%)
NPSLE18 (30.5%)
 (i) Seizures2 (3.4%)
 (ii) Psychosis2 (3.4%)
 (iii) Headache11 (18.6%)
 (iv) Cognitive impairment8 (13.6%)
Retinal disease2 (3.4%)
RP13 (22%)
Avascular necrosis3 (5.1%)
Vasculitis6 (10.2%)
Serositis7 (11.9%)
 (i) Pleurisy4 (6.8%)
 (ii) Pleural effusion2 (3.4%)
 (iii) Pericarditis2 (3.4%)
 (iv) Pericardial effusion8 (13.6%)
Musculoskeletal30 (50.8%)
 (i) Arthritis20 (33.9%)
 (ii) Myositis/myalgia12 (20.3%)
Mucocutaneous disease34 (57.6%)
 (i) Malar rash29 (49.2%)
 (ii) Oral/nasal ulcers30 (50.8%)
 (iii) Alopecia16 (27.1%)
MetS21 (35.6%)
Leukopenia20 (33.9%)
Thrombocytopenia7 (11.9%)
Renal disease39 (66.1%)
 (i) Proteinuria (>500mg/ 24 h)31 (52.5%)
 (ii) Casts10 (16.9%)
 (iii) Hematuria (>5 cells/HPF)6 (10.2%)
 (iv) Pyuria (>5 cells/HPF)13 (22%)
SLEDAI scores §13 (8-20)

Laboratory profileESR ( hour) §34 (20-73)
Cholesterol (gm/dl) §153 (131- 216)
LDL (gm/dl) §85 (63.5- 116.5)
HDL (gm/dl) §51 (37- 65)
TG (gm/dl) §95 (73.5- 150)
SUA (gm/dl) §4.1 (3.8- 5.2)

Therapeutic profileMTX use8 (13.6%)
HCQ use52 (88.1%)
HCQ cumulative dose§3400 (400-14400)
AZA use33 (55.9%)
CS use41 (69.5%)
CS cumulative dose§180 (20-720)
CYC use16 (27.1%)
Statins use3 (5.1%)
LDA use30 (50.8%)
Anti- HTN use24 (40.7%)
Anti-coagulant use12 (20.3%)

#, mean ± standard deviation; §, median (interquartile range); BP, blood pressure; RP, Raynaud’s phenomenon; NPSLE, neuropsychiatric systemic lupus erythematosus; MetS, metabolic syndrome; SLEDAI, systemic lupus erythematosus disease activity index; s. cholest., serum cholesterol; LDL, low density lipoprotein cholesterol; HDL, high density lipoprotein cholesterol; TG, triglycerides; SUA, serum uric acid; MTX, methotrexate; HCQ, hydroxychloroquine; AZA, azathioprine; CS, corticosteroids; CYC, cyclophosphamide; LDA, low dose aspirin; anti-HTN, anti-hypertensives.