Cardiac involvement in undifferentiated connective tissue disease at risk for systemic sclerosis (otherwise referred to as very early–early systemic sclerosis): a TDI study
Abstract Undifferentiated connective tissue disease at risk for systemic sclerosis (UCTD-risk-SSc), otherwise referred to as very early–early SSc, is a condition characterized by Raynaud’s phenomenon with serum SSc marker autoantibodies and/or typical capillaroscopic findings and unsatisfying classi...
Ausführliche Beschreibung
Autor*in: |
D’Alto, Michele [verfasserIn] Riccardi, Antonella [verfasserIn] Argiento, Paola [verfasserIn] Di Stefano, Ilaria [verfasserIn] Romeo, Emanuele [verfasserIn] Iacono, Agostino Mattera [verfasserIn] D’Andrea, Antonello [verfasserIn] Fasano, Serena [verfasserIn] Sanduzzi, Alessandro [verfasserIn] Bocchino, Marialuisa [verfasserIn] Docimo, Ludovico [verfasserIn] Tolone, Salvatore [verfasserIn] Russo, Maria Giovanna [verfasserIn] Valentini, Gabriele [verfasserIn] |
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Format: |
E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2017 |
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Schlagwörter: |
Undifferentiated connective tissue disease at risk for systemic sclerosis |
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Übergeordnetes Werk: |
Enthalten in: Clinical and experimental medicine - Milano : Springer, 2001, 18(2017), 2 vom: 09. Okt., Seite 237-243 |
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Übergeordnetes Werk: |
volume:18 ; year:2017 ; number:2 ; day:09 ; month:10 ; pages:237-243 |
Links: |
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DOI / URN: |
10.1007/s10238-017-0477-y |
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Katalog-ID: |
SPR009233369 |
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245 | 1 | 0 | |a Cardiac involvement in undifferentiated connective tissue disease at risk for systemic sclerosis (otherwise referred to as very early–early systemic sclerosis): a TDI study |
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520 | |a Abstract Undifferentiated connective tissue disease at risk for systemic sclerosis (UCTD-risk-SSc), otherwise referred to as very early–early SSc, is a condition characterized by Raynaud’s phenomenon with serum SSc marker autoantibodies and/or typical capillaroscopic findings and unsatisfying classification criteria for the disease. The aim of the present study was to assess the prevalence of right (RV) or left ventricular (LV) systolic and/or diastolic dysfunction by standard echocardiography and tissue Doppler imaging (TDI). Thirty patients with UCTD-risk-SSc (28 female, mean age 47 ± 13 years, range 21–70) and 30 age- and sex-matched controls underwent cardiac assessment by standard echocardiography and TDI. UCTD-risk-SSc patients and controls did not show any difference at standard echocardiography. Despite results falling within the respective normal ranges, TDI pointed out a mild impairment of LV and RV diastolic (Em 15 ± 4 vs. 19 ± 5, p = 0.0004; E/Em 6.1 ± 1.7 vs. 4.8 ± 1.2, p = 0.001; Et 14 ± 3 vs. 16 ± 2, p = 0.02; Et/At 0.9 ± 0.4 vs. 1.3 ± 0.3, p = 0.002; E/Et 3.5 ± 1.2 vs. 4.2 ± 0.9, p = 0.02) and systolic function (Sm 13 ± 3 vs. 15 ± 2 cm/s, p < 0.0003; St 14 ± 2 vs. 16 ± 3 cm/s, p < 0.0001) and increased estimated pulmonary artery wedge pressure (9 ± 2 vs. 8 ± 1, p = 0.001) in UCTD-risk-SSc patients as compared to controls. Notably, a statistically significant difference also emerged in the prevalence of TDI detected E′/A′t, (71% of UCTD-risk-SSc patients vs. 19% of controls; p < 0.0001). Our study shows that UCTD-risk-SSc patients show a previously unrecognized, mild biventricular systolic and diastolic dysfunction as compared to controls. The pathophysiologic meaning as well the predictive value of developing overt SSc await to be elucidated. | ||
650 | 4 | |a Undifferentiated connective tissue disease at risk for systemic sclerosis |7 (dpeaa)DE-He213 | |
650 | 4 | |a Very early–early systemic sclerosis |7 (dpeaa)DE-He213 | |
650 | 4 | |a Heart in UCTD-risk-SSc |7 (dpeaa)DE-He213 | |
650 | 4 | |a Cardiac involvement in SSc |7 (dpeaa)DE-He213 | |
700 | 1 | |a Riccardi, Antonella |e verfasserin |4 aut | |
700 | 1 | |a Argiento, Paola |e verfasserin |4 aut | |
700 | 1 | |a Di Stefano, Ilaria |e verfasserin |4 aut | |
700 | 1 | |a Romeo, Emanuele |e verfasserin |4 aut | |
700 | 1 | |a Iacono, Agostino Mattera |e verfasserin |4 aut | |
700 | 1 | |a D’Andrea, Antonello |e verfasserin |4 aut | |
700 | 1 | |a Fasano, Serena |e verfasserin |4 aut | |
700 | 1 | |a Sanduzzi, Alessandro |e verfasserin |4 aut | |
700 | 1 | |a Bocchino, Marialuisa |e verfasserin |4 aut | |
700 | 1 | |a Docimo, Ludovico |e verfasserin |4 aut | |
700 | 1 | |a Tolone, Salvatore |e verfasserin |4 aut | |
700 | 1 | |a Russo, Maria Giovanna |e verfasserin |4 aut | |
700 | 1 | |a Valentini, Gabriele |e verfasserin |4 aut | |
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10.1007/s10238-017-0477-y doi (DE-627)SPR009233369 (SPR)s10238-017-0477-y-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.60 bkl D’Alto, Michele verfasserin aut Cardiac involvement in undifferentiated connective tissue disease at risk for systemic sclerosis (otherwise referred to as very early–early systemic sclerosis): a TDI study 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Undifferentiated connective tissue disease at risk for systemic sclerosis (UCTD-risk-SSc), otherwise referred to as very early–early SSc, is a condition characterized by Raynaud’s phenomenon with serum SSc marker autoantibodies and/or typical capillaroscopic findings and unsatisfying classification criteria for the disease. The aim of the present study was to assess the prevalence of right (RV) or left ventricular (LV) systolic and/or diastolic dysfunction by standard echocardiography and tissue Doppler imaging (TDI). Thirty patients with UCTD-risk-SSc (28 female, mean age 47 ± 13 years, range 21–70) and 30 age- and sex-matched controls underwent cardiac assessment by standard echocardiography and TDI. UCTD-risk-SSc patients and controls did not show any difference at standard echocardiography. Despite results falling within the respective normal ranges, TDI pointed out a mild impairment of LV and RV diastolic (Em 15 ± 4 vs. 19 ± 5, p = 0.0004; E/Em 6.1 ± 1.7 vs. 4.8 ± 1.2, p = 0.001; Et 14 ± 3 vs. 16 ± 2, p = 0.02; Et/At 0.9 ± 0.4 vs. 1.3 ± 0.3, p = 0.002; E/Et 3.5 ± 1.2 vs. 4.2 ± 0.9, p = 0.02) and systolic function (Sm 13 ± 3 vs. 15 ± 2 cm/s, p < 0.0003; St 14 ± 2 vs. 16 ± 3 cm/s, p < 0.0001) and increased estimated pulmonary artery wedge pressure (9 ± 2 vs. 8 ± 1, p = 0.001) in UCTD-risk-SSc patients as compared to controls. Notably, a statistically significant difference also emerged in the prevalence of TDI detected E′/A′t, (71% of UCTD-risk-SSc patients vs. 19% of controls; p < 0.0001). Our study shows that UCTD-risk-SSc patients show a previously unrecognized, mild biventricular systolic and diastolic dysfunction as compared to controls. The pathophysiologic meaning as well the predictive value of developing overt SSc await to be elucidated. Undifferentiated connective tissue disease at risk for systemic sclerosis (dpeaa)DE-He213 Very early–early systemic sclerosis (dpeaa)DE-He213 Heart in UCTD-risk-SSc (dpeaa)DE-He213 Cardiac involvement in SSc (dpeaa)DE-He213 Riccardi, Antonella verfasserin aut Argiento, Paola verfasserin aut Di Stefano, Ilaria verfasserin aut Romeo, Emanuele verfasserin aut Iacono, Agostino Mattera verfasserin aut D’Andrea, Antonello verfasserin aut Fasano, Serena verfasserin aut Sanduzzi, Alessandro verfasserin aut Bocchino, Marialuisa verfasserin aut Docimo, Ludovico verfasserin aut Tolone, Salvatore verfasserin aut Russo, Maria Giovanna verfasserin aut Valentini, Gabriele verfasserin aut Enthalten in Clinical and experimental medicine Milano : Springer, 2001 18(2017), 2 vom: 09. Okt., Seite 237-243 (DE-627)332826694 (DE-600)2054398-0 1591-9528 nnns volume:18 year:2017 number:2 day:09 month:10 pages:237-243 https://dx.doi.org/10.1007/s10238-017-0477-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.60 ASE AR 18 2017 2 09 10 237-243 |
spelling |
10.1007/s10238-017-0477-y doi (DE-627)SPR009233369 (SPR)s10238-017-0477-y-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.60 bkl D’Alto, Michele verfasserin aut Cardiac involvement in undifferentiated connective tissue disease at risk for systemic sclerosis (otherwise referred to as very early–early systemic sclerosis): a TDI study 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Undifferentiated connective tissue disease at risk for systemic sclerosis (UCTD-risk-SSc), otherwise referred to as very early–early SSc, is a condition characterized by Raynaud’s phenomenon with serum SSc marker autoantibodies and/or typical capillaroscopic findings and unsatisfying classification criteria for the disease. The aim of the present study was to assess the prevalence of right (RV) or left ventricular (LV) systolic and/or diastolic dysfunction by standard echocardiography and tissue Doppler imaging (TDI). Thirty patients with UCTD-risk-SSc (28 female, mean age 47 ± 13 years, range 21–70) and 30 age- and sex-matched controls underwent cardiac assessment by standard echocardiography and TDI. UCTD-risk-SSc patients and controls did not show any difference at standard echocardiography. Despite results falling within the respective normal ranges, TDI pointed out a mild impairment of LV and RV diastolic (Em 15 ± 4 vs. 19 ± 5, p = 0.0004; E/Em 6.1 ± 1.7 vs. 4.8 ± 1.2, p = 0.001; Et 14 ± 3 vs. 16 ± 2, p = 0.02; Et/At 0.9 ± 0.4 vs. 1.3 ± 0.3, p = 0.002; E/Et 3.5 ± 1.2 vs. 4.2 ± 0.9, p = 0.02) and systolic function (Sm 13 ± 3 vs. 15 ± 2 cm/s, p < 0.0003; St 14 ± 2 vs. 16 ± 3 cm/s, p < 0.0001) and increased estimated pulmonary artery wedge pressure (9 ± 2 vs. 8 ± 1, p = 0.001) in UCTD-risk-SSc patients as compared to controls. Notably, a statistically significant difference also emerged in the prevalence of TDI detected E′/A′t, (71% of UCTD-risk-SSc patients vs. 19% of controls; p < 0.0001). Our study shows that UCTD-risk-SSc patients show a previously unrecognized, mild biventricular systolic and diastolic dysfunction as compared to controls. The pathophysiologic meaning as well the predictive value of developing overt SSc await to be elucidated. Undifferentiated connective tissue disease at risk for systemic sclerosis (dpeaa)DE-He213 Very early–early systemic sclerosis (dpeaa)DE-He213 Heart in UCTD-risk-SSc (dpeaa)DE-He213 Cardiac involvement in SSc (dpeaa)DE-He213 Riccardi, Antonella verfasserin aut Argiento, Paola verfasserin aut Di Stefano, Ilaria verfasserin aut Romeo, Emanuele verfasserin aut Iacono, Agostino Mattera verfasserin aut D’Andrea, Antonello verfasserin aut Fasano, Serena verfasserin aut Sanduzzi, Alessandro verfasserin aut Bocchino, Marialuisa verfasserin aut Docimo, Ludovico verfasserin aut Tolone, Salvatore verfasserin aut Russo, Maria Giovanna verfasserin aut Valentini, Gabriele verfasserin aut Enthalten in Clinical and experimental medicine Milano : Springer, 2001 18(2017), 2 vom: 09. Okt., Seite 237-243 (DE-627)332826694 (DE-600)2054398-0 1591-9528 nnns volume:18 year:2017 number:2 day:09 month:10 pages:237-243 https://dx.doi.org/10.1007/s10238-017-0477-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.60 ASE AR 18 2017 2 09 10 237-243 |
allfields_unstemmed |
10.1007/s10238-017-0477-y doi (DE-627)SPR009233369 (SPR)s10238-017-0477-y-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.60 bkl D’Alto, Michele verfasserin aut Cardiac involvement in undifferentiated connective tissue disease at risk for systemic sclerosis (otherwise referred to as very early–early systemic sclerosis): a TDI study 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Undifferentiated connective tissue disease at risk for systemic sclerosis (UCTD-risk-SSc), otherwise referred to as very early–early SSc, is a condition characterized by Raynaud’s phenomenon with serum SSc marker autoantibodies and/or typical capillaroscopic findings and unsatisfying classification criteria for the disease. The aim of the present study was to assess the prevalence of right (RV) or left ventricular (LV) systolic and/or diastolic dysfunction by standard echocardiography and tissue Doppler imaging (TDI). Thirty patients with UCTD-risk-SSc (28 female, mean age 47 ± 13 years, range 21–70) and 30 age- and sex-matched controls underwent cardiac assessment by standard echocardiography and TDI. UCTD-risk-SSc patients and controls did not show any difference at standard echocardiography. Despite results falling within the respective normal ranges, TDI pointed out a mild impairment of LV and RV diastolic (Em 15 ± 4 vs. 19 ± 5, p = 0.0004; E/Em 6.1 ± 1.7 vs. 4.8 ± 1.2, p = 0.001; Et 14 ± 3 vs. 16 ± 2, p = 0.02; Et/At 0.9 ± 0.4 vs. 1.3 ± 0.3, p = 0.002; E/Et 3.5 ± 1.2 vs. 4.2 ± 0.9, p = 0.02) and systolic function (Sm 13 ± 3 vs. 15 ± 2 cm/s, p < 0.0003; St 14 ± 2 vs. 16 ± 3 cm/s, p < 0.0001) and increased estimated pulmonary artery wedge pressure (9 ± 2 vs. 8 ± 1, p = 0.001) in UCTD-risk-SSc patients as compared to controls. Notably, a statistically significant difference also emerged in the prevalence of TDI detected E′/A′t, (71% of UCTD-risk-SSc patients vs. 19% of controls; p < 0.0001). Our study shows that UCTD-risk-SSc patients show a previously unrecognized, mild biventricular systolic and diastolic dysfunction as compared to controls. The pathophysiologic meaning as well the predictive value of developing overt SSc await to be elucidated. Undifferentiated connective tissue disease at risk for systemic sclerosis (dpeaa)DE-He213 Very early–early systemic sclerosis (dpeaa)DE-He213 Heart in UCTD-risk-SSc (dpeaa)DE-He213 Cardiac involvement in SSc (dpeaa)DE-He213 Riccardi, Antonella verfasserin aut Argiento, Paola verfasserin aut Di Stefano, Ilaria verfasserin aut Romeo, Emanuele verfasserin aut Iacono, Agostino Mattera verfasserin aut D’Andrea, Antonello verfasserin aut Fasano, Serena verfasserin aut Sanduzzi, Alessandro verfasserin aut Bocchino, Marialuisa verfasserin aut Docimo, Ludovico verfasserin aut Tolone, Salvatore verfasserin aut Russo, Maria Giovanna verfasserin aut Valentini, Gabriele verfasserin aut Enthalten in Clinical and experimental medicine Milano : Springer, 2001 18(2017), 2 vom: 09. Okt., Seite 237-243 (DE-627)332826694 (DE-600)2054398-0 1591-9528 nnns volume:18 year:2017 number:2 day:09 month:10 pages:237-243 https://dx.doi.org/10.1007/s10238-017-0477-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.60 ASE AR 18 2017 2 09 10 237-243 |
allfieldsGer |
10.1007/s10238-017-0477-y doi (DE-627)SPR009233369 (SPR)s10238-017-0477-y-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.60 bkl D’Alto, Michele verfasserin aut Cardiac involvement in undifferentiated connective tissue disease at risk for systemic sclerosis (otherwise referred to as very early–early systemic sclerosis): a TDI study 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Undifferentiated connective tissue disease at risk for systemic sclerosis (UCTD-risk-SSc), otherwise referred to as very early–early SSc, is a condition characterized by Raynaud’s phenomenon with serum SSc marker autoantibodies and/or typical capillaroscopic findings and unsatisfying classification criteria for the disease. The aim of the present study was to assess the prevalence of right (RV) or left ventricular (LV) systolic and/or diastolic dysfunction by standard echocardiography and tissue Doppler imaging (TDI). Thirty patients with UCTD-risk-SSc (28 female, mean age 47 ± 13 years, range 21–70) and 30 age- and sex-matched controls underwent cardiac assessment by standard echocardiography and TDI. UCTD-risk-SSc patients and controls did not show any difference at standard echocardiography. Despite results falling within the respective normal ranges, TDI pointed out a mild impairment of LV and RV diastolic (Em 15 ± 4 vs. 19 ± 5, p = 0.0004; E/Em 6.1 ± 1.7 vs. 4.8 ± 1.2, p = 0.001; Et 14 ± 3 vs. 16 ± 2, p = 0.02; Et/At 0.9 ± 0.4 vs. 1.3 ± 0.3, p = 0.002; E/Et 3.5 ± 1.2 vs. 4.2 ± 0.9, p = 0.02) and systolic function (Sm 13 ± 3 vs. 15 ± 2 cm/s, p < 0.0003; St 14 ± 2 vs. 16 ± 3 cm/s, p < 0.0001) and increased estimated pulmonary artery wedge pressure (9 ± 2 vs. 8 ± 1, p = 0.001) in UCTD-risk-SSc patients as compared to controls. Notably, a statistically significant difference also emerged in the prevalence of TDI detected E′/A′t, (71% of UCTD-risk-SSc patients vs. 19% of controls; p < 0.0001). Our study shows that UCTD-risk-SSc patients show a previously unrecognized, mild biventricular systolic and diastolic dysfunction as compared to controls. The pathophysiologic meaning as well the predictive value of developing overt SSc await to be elucidated. Undifferentiated connective tissue disease at risk for systemic sclerosis (dpeaa)DE-He213 Very early–early systemic sclerosis (dpeaa)DE-He213 Heart in UCTD-risk-SSc (dpeaa)DE-He213 Cardiac involvement in SSc (dpeaa)DE-He213 Riccardi, Antonella verfasserin aut Argiento, Paola verfasserin aut Di Stefano, Ilaria verfasserin aut Romeo, Emanuele verfasserin aut Iacono, Agostino Mattera verfasserin aut D’Andrea, Antonello verfasserin aut Fasano, Serena verfasserin aut Sanduzzi, Alessandro verfasserin aut Bocchino, Marialuisa verfasserin aut Docimo, Ludovico verfasserin aut Tolone, Salvatore verfasserin aut Russo, Maria Giovanna verfasserin aut Valentini, Gabriele verfasserin aut Enthalten in Clinical and experimental medicine Milano : Springer, 2001 18(2017), 2 vom: 09. Okt., Seite 237-243 (DE-627)332826694 (DE-600)2054398-0 1591-9528 nnns volume:18 year:2017 number:2 day:09 month:10 pages:237-243 https://dx.doi.org/10.1007/s10238-017-0477-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.60 ASE AR 18 2017 2 09 10 237-243 |
allfieldsSound |
10.1007/s10238-017-0477-y doi (DE-627)SPR009233369 (SPR)s10238-017-0477-y-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.60 bkl D’Alto, Michele verfasserin aut Cardiac involvement in undifferentiated connective tissue disease at risk for systemic sclerosis (otherwise referred to as very early–early systemic sclerosis): a TDI study 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Undifferentiated connective tissue disease at risk for systemic sclerosis (UCTD-risk-SSc), otherwise referred to as very early–early SSc, is a condition characterized by Raynaud’s phenomenon with serum SSc marker autoantibodies and/or typical capillaroscopic findings and unsatisfying classification criteria for the disease. The aim of the present study was to assess the prevalence of right (RV) or left ventricular (LV) systolic and/or diastolic dysfunction by standard echocardiography and tissue Doppler imaging (TDI). Thirty patients with UCTD-risk-SSc (28 female, mean age 47 ± 13 years, range 21–70) and 30 age- and sex-matched controls underwent cardiac assessment by standard echocardiography and TDI. UCTD-risk-SSc patients and controls did not show any difference at standard echocardiography. Despite results falling within the respective normal ranges, TDI pointed out a mild impairment of LV and RV diastolic (Em 15 ± 4 vs. 19 ± 5, p = 0.0004; E/Em 6.1 ± 1.7 vs. 4.8 ± 1.2, p = 0.001; Et 14 ± 3 vs. 16 ± 2, p = 0.02; Et/At 0.9 ± 0.4 vs. 1.3 ± 0.3, p = 0.002; E/Et 3.5 ± 1.2 vs. 4.2 ± 0.9, p = 0.02) and systolic function (Sm 13 ± 3 vs. 15 ± 2 cm/s, p < 0.0003; St 14 ± 2 vs. 16 ± 3 cm/s, p < 0.0001) and increased estimated pulmonary artery wedge pressure (9 ± 2 vs. 8 ± 1, p = 0.001) in UCTD-risk-SSc patients as compared to controls. Notably, a statistically significant difference also emerged in the prevalence of TDI detected E′/A′t, (71% of UCTD-risk-SSc patients vs. 19% of controls; p < 0.0001). Our study shows that UCTD-risk-SSc patients show a previously unrecognized, mild biventricular systolic and diastolic dysfunction as compared to controls. The pathophysiologic meaning as well the predictive value of developing overt SSc await to be elucidated. Undifferentiated connective tissue disease at risk for systemic sclerosis (dpeaa)DE-He213 Very early–early systemic sclerosis (dpeaa)DE-He213 Heart in UCTD-risk-SSc (dpeaa)DE-He213 Cardiac involvement in SSc (dpeaa)DE-He213 Riccardi, Antonella verfasserin aut Argiento, Paola verfasserin aut Di Stefano, Ilaria verfasserin aut Romeo, Emanuele verfasserin aut Iacono, Agostino Mattera verfasserin aut D’Andrea, Antonello verfasserin aut Fasano, Serena verfasserin aut Sanduzzi, Alessandro verfasserin aut Bocchino, Marialuisa verfasserin aut Docimo, Ludovico verfasserin aut Tolone, Salvatore verfasserin aut Russo, Maria Giovanna verfasserin aut Valentini, Gabriele verfasserin aut Enthalten in Clinical and experimental medicine Milano : Springer, 2001 18(2017), 2 vom: 09. Okt., Seite 237-243 (DE-627)332826694 (DE-600)2054398-0 1591-9528 nnns volume:18 year:2017 number:2 day:09 month:10 pages:237-243 https://dx.doi.org/10.1007/s10238-017-0477-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.60 ASE AR 18 2017 2 09 10 237-243 |
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Enthalten in Clinical and experimental medicine 18(2017), 2 vom: 09. Okt., Seite 237-243 volume:18 year:2017 number:2 day:09 month:10 pages:237-243 |
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Enthalten in Clinical and experimental medicine 18(2017), 2 vom: 09. Okt., Seite 237-243 volume:18 year:2017 number:2 day:09 month:10 pages:237-243 |
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Undifferentiated connective tissue disease at risk for systemic sclerosis Very early–early systemic sclerosis Heart in UCTD-risk-SSc Cardiac involvement in SSc |
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610 |
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D’Alto, Michele @@aut@@ Riccardi, Antonella @@aut@@ Argiento, Paola @@aut@@ Di Stefano, Ilaria @@aut@@ Romeo, Emanuele @@aut@@ Iacono, Agostino Mattera @@aut@@ D’Andrea, Antonello @@aut@@ Fasano, Serena @@aut@@ Sanduzzi, Alessandro @@aut@@ Bocchino, Marialuisa @@aut@@ Docimo, Ludovico @@aut@@ Tolone, Salvatore @@aut@@ Russo, Maria Giovanna @@aut@@ Valentini, Gabriele @@aut@@ |
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2017-10-09T00:00:00Z |
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332826694 |
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3610 |
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author |
D’Alto, Michele |
spellingShingle |
D’Alto, Michele ddc 610 bkl 44.60 misc Undifferentiated connective tissue disease at risk for systemic sclerosis misc Very early–early systemic sclerosis misc Heart in UCTD-risk-SSc misc Cardiac involvement in SSc Cardiac involvement in undifferentiated connective tissue disease at risk for systemic sclerosis (otherwise referred to as very early–early systemic sclerosis): a TDI study |
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610 ASE 44.60 bkl Cardiac involvement in undifferentiated connective tissue disease at risk for systemic sclerosis (otherwise referred to as very early–early systemic sclerosis): a TDI study Undifferentiated connective tissue disease at risk for systemic sclerosis (dpeaa)DE-He213 Very early–early systemic sclerosis (dpeaa)DE-He213 Heart in UCTD-risk-SSc (dpeaa)DE-He213 Cardiac involvement in SSc (dpeaa)DE-He213 |
topic |
ddc 610 bkl 44.60 misc Undifferentiated connective tissue disease at risk for systemic sclerosis misc Very early–early systemic sclerosis misc Heart in UCTD-risk-SSc misc Cardiac involvement in SSc |
topic_unstemmed |
ddc 610 bkl 44.60 misc Undifferentiated connective tissue disease at risk for systemic sclerosis misc Very early–early systemic sclerosis misc Heart in UCTD-risk-SSc misc Cardiac involvement in SSc |
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ddc 610 bkl 44.60 misc Undifferentiated connective tissue disease at risk for systemic sclerosis misc Very early–early systemic sclerosis misc Heart in UCTD-risk-SSc misc Cardiac involvement in SSc |
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Cardiac involvement in undifferentiated connective tissue disease at risk for systemic sclerosis (otherwise referred to as very early–early systemic sclerosis): a TDI study |
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(DE-627)SPR009233369 (SPR)s10238-017-0477-y-e |
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Cardiac involvement in undifferentiated connective tissue disease at risk for systemic sclerosis (otherwise referred to as very early–early systemic sclerosis): a TDI study |
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D’Alto, Michele |
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D’Alto, Michele Riccardi, Antonella Argiento, Paola Di Stefano, Ilaria Romeo, Emanuele Iacono, Agostino Mattera D’Andrea, Antonello Fasano, Serena Sanduzzi, Alessandro Bocchino, Marialuisa Docimo, Ludovico Tolone, Salvatore Russo, Maria Giovanna Valentini, Gabriele |
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D’Alto, Michele |
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10.1007/s10238-017-0477-y |
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610 |
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title_sort |
cardiac involvement in undifferentiated connective tissue disease at risk for systemic sclerosis (otherwise referred to as very early–early systemic sclerosis): a tdi study |
title_auth |
Cardiac involvement in undifferentiated connective tissue disease at risk for systemic sclerosis (otherwise referred to as very early–early systemic sclerosis): a TDI study |
abstract |
Abstract Undifferentiated connective tissue disease at risk for systemic sclerosis (UCTD-risk-SSc), otherwise referred to as very early–early SSc, is a condition characterized by Raynaud’s phenomenon with serum SSc marker autoantibodies and/or typical capillaroscopic findings and unsatisfying classification criteria for the disease. The aim of the present study was to assess the prevalence of right (RV) or left ventricular (LV) systolic and/or diastolic dysfunction by standard echocardiography and tissue Doppler imaging (TDI). Thirty patients with UCTD-risk-SSc (28 female, mean age 47 ± 13 years, range 21–70) and 30 age- and sex-matched controls underwent cardiac assessment by standard echocardiography and TDI. UCTD-risk-SSc patients and controls did not show any difference at standard echocardiography. Despite results falling within the respective normal ranges, TDI pointed out a mild impairment of LV and RV diastolic (Em 15 ± 4 vs. 19 ± 5, p = 0.0004; E/Em 6.1 ± 1.7 vs. 4.8 ± 1.2, p = 0.001; Et 14 ± 3 vs. 16 ± 2, p = 0.02; Et/At 0.9 ± 0.4 vs. 1.3 ± 0.3, p = 0.002; E/Et 3.5 ± 1.2 vs. 4.2 ± 0.9, p = 0.02) and systolic function (Sm 13 ± 3 vs. 15 ± 2 cm/s, p < 0.0003; St 14 ± 2 vs. 16 ± 3 cm/s, p < 0.0001) and increased estimated pulmonary artery wedge pressure (9 ± 2 vs. 8 ± 1, p = 0.001) in UCTD-risk-SSc patients as compared to controls. Notably, a statistically significant difference also emerged in the prevalence of TDI detected E′/A′t, (71% of UCTD-risk-SSc patients vs. 19% of controls; p < 0.0001). Our study shows that UCTD-risk-SSc patients show a previously unrecognized, mild biventricular systolic and diastolic dysfunction as compared to controls. The pathophysiologic meaning as well the predictive value of developing overt SSc await to be elucidated. |
abstractGer |
Abstract Undifferentiated connective tissue disease at risk for systemic sclerosis (UCTD-risk-SSc), otherwise referred to as very early–early SSc, is a condition characterized by Raynaud’s phenomenon with serum SSc marker autoantibodies and/or typical capillaroscopic findings and unsatisfying classification criteria for the disease. The aim of the present study was to assess the prevalence of right (RV) or left ventricular (LV) systolic and/or diastolic dysfunction by standard echocardiography and tissue Doppler imaging (TDI). Thirty patients with UCTD-risk-SSc (28 female, mean age 47 ± 13 years, range 21–70) and 30 age- and sex-matched controls underwent cardiac assessment by standard echocardiography and TDI. UCTD-risk-SSc patients and controls did not show any difference at standard echocardiography. Despite results falling within the respective normal ranges, TDI pointed out a mild impairment of LV and RV diastolic (Em 15 ± 4 vs. 19 ± 5, p = 0.0004; E/Em 6.1 ± 1.7 vs. 4.8 ± 1.2, p = 0.001; Et 14 ± 3 vs. 16 ± 2, p = 0.02; Et/At 0.9 ± 0.4 vs. 1.3 ± 0.3, p = 0.002; E/Et 3.5 ± 1.2 vs. 4.2 ± 0.9, p = 0.02) and systolic function (Sm 13 ± 3 vs. 15 ± 2 cm/s, p < 0.0003; St 14 ± 2 vs. 16 ± 3 cm/s, p < 0.0001) and increased estimated pulmonary artery wedge pressure (9 ± 2 vs. 8 ± 1, p = 0.001) in UCTD-risk-SSc patients as compared to controls. Notably, a statistically significant difference also emerged in the prevalence of TDI detected E′/A′t, (71% of UCTD-risk-SSc patients vs. 19% of controls; p < 0.0001). Our study shows that UCTD-risk-SSc patients show a previously unrecognized, mild biventricular systolic and diastolic dysfunction as compared to controls. The pathophysiologic meaning as well the predictive value of developing overt SSc await to be elucidated. |
abstract_unstemmed |
Abstract Undifferentiated connective tissue disease at risk for systemic sclerosis (UCTD-risk-SSc), otherwise referred to as very early–early SSc, is a condition characterized by Raynaud’s phenomenon with serum SSc marker autoantibodies and/or typical capillaroscopic findings and unsatisfying classification criteria for the disease. The aim of the present study was to assess the prevalence of right (RV) or left ventricular (LV) systolic and/or diastolic dysfunction by standard echocardiography and tissue Doppler imaging (TDI). Thirty patients with UCTD-risk-SSc (28 female, mean age 47 ± 13 years, range 21–70) and 30 age- and sex-matched controls underwent cardiac assessment by standard echocardiography and TDI. UCTD-risk-SSc patients and controls did not show any difference at standard echocardiography. Despite results falling within the respective normal ranges, TDI pointed out a mild impairment of LV and RV diastolic (Em 15 ± 4 vs. 19 ± 5, p = 0.0004; E/Em 6.1 ± 1.7 vs. 4.8 ± 1.2, p = 0.001; Et 14 ± 3 vs. 16 ± 2, p = 0.02; Et/At 0.9 ± 0.4 vs. 1.3 ± 0.3, p = 0.002; E/Et 3.5 ± 1.2 vs. 4.2 ± 0.9, p = 0.02) and systolic function (Sm 13 ± 3 vs. 15 ± 2 cm/s, p < 0.0003; St 14 ± 2 vs. 16 ± 3 cm/s, p < 0.0001) and increased estimated pulmonary artery wedge pressure (9 ± 2 vs. 8 ± 1, p = 0.001) in UCTD-risk-SSc patients as compared to controls. Notably, a statistically significant difference also emerged in the prevalence of TDI detected E′/A′t, (71% of UCTD-risk-SSc patients vs. 19% of controls; p < 0.0001). Our study shows that UCTD-risk-SSc patients show a previously unrecognized, mild biventricular systolic and diastolic dysfunction as compared to controls. The pathophysiologic meaning as well the predictive value of developing overt SSc await to be elucidated. |
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title_short |
Cardiac involvement in undifferentiated connective tissue disease at risk for systemic sclerosis (otherwise referred to as very early–early systemic sclerosis): a TDI study |
url |
https://dx.doi.org/10.1007/s10238-017-0477-y |
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Riccardi, Antonella Argiento, Paola Di Stefano, Ilaria Romeo, Emanuele Iacono, Agostino Mattera D’Andrea, Antonello Fasano, Serena Sanduzzi, Alessandro Bocchino, Marialuisa Docimo, Ludovico Tolone, Salvatore Russo, Maria Giovanna Valentini, Gabriele |
author2Str |
Riccardi, Antonella Argiento, Paola Di Stefano, Ilaria Romeo, Emanuele Iacono, Agostino Mattera D’Andrea, Antonello Fasano, Serena Sanduzzi, Alessandro Bocchino, Marialuisa Docimo, Ludovico Tolone, Salvatore Russo, Maria Giovanna Valentini, Gabriele |
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doi_str |
10.1007/s10238-017-0477-y |
up_date |
2024-07-04T01:14:30.009Z |
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|
score |
7.402029 |