Detecting cardiac valvular pathology in patients with systemic lupus erythematosus.

Ernest B Luce, C. F. Presti, I. Montemayor, M. H. Crawford

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Systemic lupus erythematosus (SLE) is associated with multiple cardiac complications, including valvular damage and an increased risk of bacterial endocarditis. The purpose of this study was to evaluate prospectively a group of patients with SLE for the presence of valvular abnormalities in order to assess their candidacy for antibiotic prophylaxis prior to invasive dental procedures. Of the 43 participants, 19 (44%) had echocardiographic evidence of valvular pathology; however, only seven (16%) had a physical exam consistent with pathologic valve anatomy or function. Because of the high percentage of SLE patients with valvular abnormalities, and the poor sensitivity of the physical exam, referral to a cardiologist for echocardiography is suggested prior to invasive dental care for patients with SLE. If cardiac valvular pathology is detected, antibiotic prophylaxis should be considered.

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Systemic Lupus Erythematosus
Pathology
Antibiotic Prophylaxis
Bacterial Endocarditis
Dental Care
Echocardiography
Anatomy
Tooth
Referral and Consultation

ASJC Scopus subject areas

  • Dentistry(all)

Cite this

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title = "Detecting cardiac valvular pathology in patients with systemic lupus erythematosus.",
abstract = "Systemic lupus erythematosus (SLE) is associated with multiple cardiac complications, including valvular damage and an increased risk of bacterial endocarditis. The purpose of this study was to evaluate prospectively a group of patients with SLE for the presence of valvular abnormalities in order to assess their candidacy for antibiotic prophylaxis prior to invasive dental procedures. Of the 43 participants, 19 (44{\%}) had echocardiographic evidence of valvular pathology; however, only seven (16{\%}) had a physical exam consistent with pathologic valve anatomy or function. Because of the high percentage of SLE patients with valvular abnormalities, and the poor sensitivity of the physical exam, referral to a cardiologist for echocardiography is suggested prior to invasive dental care for patients with SLE. If cardiac valvular pathology is detected, antibiotic prophylaxis should be considered.",
author = "Luce, {Ernest B} and Presti, {C. F.} and I. Montemayor and Crawford, {M. H.}",
year = "1992",
month = "9",
language = "English (US)",
volume = "12",
pages = "193--197",
journal = "Special Care in Dentistry",
issn = "0275-1879",
publisher = "Wiley-Blackwell",
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T1 - Detecting cardiac valvular pathology in patients with systemic lupus erythematosus.

AU - Luce, Ernest B

AU - Presti, C. F.

AU - Montemayor, I.

AU - Crawford, M. H.

PY - 1992/9

Y1 - 1992/9

N2 - Systemic lupus erythematosus (SLE) is associated with multiple cardiac complications, including valvular damage and an increased risk of bacterial endocarditis. The purpose of this study was to evaluate prospectively a group of patients with SLE for the presence of valvular abnormalities in order to assess their candidacy for antibiotic prophylaxis prior to invasive dental procedures. Of the 43 participants, 19 (44%) had echocardiographic evidence of valvular pathology; however, only seven (16%) had a physical exam consistent with pathologic valve anatomy or function. Because of the high percentage of SLE patients with valvular abnormalities, and the poor sensitivity of the physical exam, referral to a cardiologist for echocardiography is suggested prior to invasive dental care for patients with SLE. If cardiac valvular pathology is detected, antibiotic prophylaxis should be considered.

AB - Systemic lupus erythematosus (SLE) is associated with multiple cardiac complications, including valvular damage and an increased risk of bacterial endocarditis. The purpose of this study was to evaluate prospectively a group of patients with SLE for the presence of valvular abnormalities in order to assess their candidacy for antibiotic prophylaxis prior to invasive dental procedures. Of the 43 participants, 19 (44%) had echocardiographic evidence of valvular pathology; however, only seven (16%) had a physical exam consistent with pathologic valve anatomy or function. Because of the high percentage of SLE patients with valvular abnormalities, and the poor sensitivity of the physical exam, referral to a cardiologist for echocardiography is suggested prior to invasive dental care for patients with SLE. If cardiac valvular pathology is detected, antibiotic prophylaxis should be considered.

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