JAPANESE CIRCULATION JOURNAL
Online ISSN : 1347-4839
Print ISSN : 0047-1828
ISSN-L : 0047-1828
Case Reports
Echocardiographic Observation of Acute Myocarditis With Systemic Lupus Erythematosus
Takashi UedaKatsufumi MizushigeTohru AoyamaMichiaki TokudaHideyasu KiyomotoHirohide Matsuo
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2000 Volume 64 Issue 2 Pages 144-146

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Abstract

Although myocarditis from a series of autopsies of patients with systemic lupus erythematosus was frequently observed, the incidence of clinically apparent myocardial dysfunction was low. A 30-year-old woman with systemic lupus erythematosus was examined by echocardiography. An acoustic densitometry was followed at the left ventricular posterior wall throughout the clinical course. A decrease in the magnitude of cyclic variation of integrated backscatter (IB) was observed before treatment. Following the combined treatment, steroid and cyclophosphamide, a repeated ultrasonic tissue characterization showed an increase in the magnitude of cyclic variation of IB. It is thought that ultrasonic tissue characterization may be a useful method to evaluate the impairment of contraction, and to follow up the clinical course of myocardial involvement in systemic lupus erythematosus.

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© 2000 THE JAPANESE CIRCULATION SOCIETY
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