ENDOCARDITIS DE LIBMAN SACKS PDF

The journal, published since , is the official publication of the Spanish Society of Cardiology and founder of the REC Publications journal family. Articles are published in both English an Spanish in its electronic edition. The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two receding years. CiteScore measures average citations received per document published. Read more.

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The Journal publishes articles on basic or clinical research relating to nephrology, arterial hypertension, dialysis and kidney transplants. It is governed by the peer review system and all original papers are subject to internal assessment and external reviews. The journal accepts submissions of articles in English and in Spanish languages. The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two receding years.

CiteScore measures average citations received per document published. Read more. SRJ is a prestige metric based on the idea that not all citations are the same.

SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact. SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. The procedure was complicated with a severe perirenal haematoma, which required selective embolization and, subsequently, fever, which was attributed to the procedure and reabsorption of the haematoma; the microbiological tests were negative.

The lupus anticoagulant 2. The kidney biopsy showed a type III lupus nephritis. The patient had cardiac murmur in the auscultation and the fever persisted, so an echocardiogram was performed that showed a bicuspid aortic valve with a vegetation s on the free edge of its 2 leaflets causing a severe insufficiency. Although it was unlikely that this lesion was caused by an infection, owing to the negative result on the blood cultures, a cardiac MRI with contrast dye was performed to clarify the diagnosis.

In this examination, in addition to the vegetation there was subepicardial enhancement inferolateral, suggestive of a vasculitic process Fig. Cardiac MRI with contrast dye. B Short-axis delayed gadolinium-enhanced sequence of the LV, showing an image of subepicardial enhancement at the level of the inferolateral segment suggestive of a vasculitic process arrow.

After one, she has normal kidney function, the aortic insufficiency has improved to a more moderate gradient. This case also illustrates the difficulty of a differential diagnosis vs other valvular malformations or infective endocarditis itself, which may be colonizing on a previous LSE lesion.

Regarding treatment, surgery is reserved for cases of severe valvular dysfunction or with large mobile masses with high risk of embolization. In conclusion, LSE should be included in the differential diagnosis of a patient with SLE and fever, especially if the test is positive for anticardiolipin antibodies and there is a previous triggering factor.

In the absence of specific markers, MRI is an important tool for elucidate the diagnosis. Although valvular dysfunction is rare, when it occurs, treatment with steroids and MMF may reduce the lesions and postpone the need for valve replacement. However, given the embolic risk involved, maintaining anticoagulation with close clinical and imaging observation is essential. Home Articles in press Archive. ISSN: Previous article Next article. March - April Pages Letter to the Editor.

Download PDF. Corresponding author. This item has received. Under a Creative Commons license. Article information. Moyssakis, M. Tektonidou, V. Vassilliou, M. Samarkos, V. Votteas, H. Libman-Sacks endocarditis in systemic lupus erythematosus: prevalence, associations, and evolution. Am J Med, , pp. Sharma, Z.

Lasic, A. Bornstein, R. Cooper, J. Libman-Sacks endocarditis as the first manifestation of systemic lupus erythematosus in an adolescent, with a review of the literature. Cardiol Young, 23 , pp. Zuily, V. Regnault, C. Selton-Suty, V. Bruntz, E. Bode-Dotto, et al. Increased risk for heart valve disease associated with antiphospholipid antibodies in patients with systemic lupus erythematosus: meta-analysis of echocardiographic studies.

Circulation, , pp. Bordin, R. Boldorini, P. The two hit hypothesis in the antiphospholipid syndrome: acute ischaemic heart involvement after valvular replacement despite anticoagulation in a patient with secondary APS.

Lupus, 12 , pp. Bocskai, S. Fekete, L. Non-thromboembolic risk in systemic lupus erythematosus associated with antiphospholipid syndrome. Lupus, 23 , pp. Gouya, L.

Cabanes, L. Mouthon, A. Pavie, P. Legmann, O. Severe mitral stenosis as the first manifestation of systemic lupus erythematosus in a year-old woman: the value of magnetic resonance imaging in the diagnosis of Libman-Sacks endocarditis. Int J Cardiovasc Imaging, 30 , pp. Vinales, R.

Gopalan, L. Lanza, S. Lester, H. Unusual case of nonbacterial thrombotic endocarditis attributable to primary antiphospholipid syndrome. Nishioka, N. Morimoto, M. Yoshida, N. Left ventricular vegetations: a rare manifestation of Libman-Sacks endocarditis. J Thorac Cardiovasc Surg, , pp. Subscribe to our newsletter.

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Libman–Sacks endocarditis

Key words:. Libman E, Sacks B. A hitherto undescribed form of valvular and mural endocarditis. Arch Intern Med ; Libman-Sacks endocarditis in systemic lupus erythematosus: prevalence, associations, and evolution. Am J Med ; An echocardiographic study of valvular heart disease associated with systemic lupus erythematosus.

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2010, Number 1

The Journal publishes articles on basic or clinical research relating to nephrology, arterial hypertension, dialysis and kidney transplants. It is governed by the peer review system and all original papers are subject to internal assessment and external reviews. The journal accepts submissions of articles in English and in Spanish languages. The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two receding years. CiteScore measures average citations received per document published.

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2010, Número 1

The Portuguese Journal of Cardiology, the official journal of the Portuguese Society of Cardiology, was founded in with the aim of keeping Portuguese cardiologists informed through the publication of scientific articles on areas such as arrhythmology and electrophysiology, cardiovascular surgery, intensive care, coronary artery disease, cardiovascular imaging, hypertension, heart failure and cardiovascular prevention. The Journal is a monthly publication with high standards of quality in terms of scientific content and production. Since it has been published in English as well as Portuguese, which has widened its readership abroad. It is distributed to all members of the Portuguese Societies of Cardiology, Internal Medicine, Pneumology and Cardiothoracic Surgery, as well as to leading non-Portuguese cardiologists and to virtually all cardiology societies worldwide. It has been referred in Medline since The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two receding years.

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Libman—Sacks endocarditis LSE is a form of non-bacterial endocarditis that is seen in association with systemic lupus erythematosus SLE , antiphospholipid syndrome , and malignancies. It is one of the most common heart-related manifestations of lupus the most common being pericarditis. LSE itself is typically asymptomatic. Affected persons most commonly present with embolisms secondary to dislodged vegitations. However, in some cases, severe valvular dysfunction may develop. More severe LSE may result in arterial emboli, valvular insufficiency, and heart failure.

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