Hi Alex
For the sake of time I think we should just do heart/hands in collagen vascular disease – SLE, Scleroderma and RA
You should be able to stay on this page and present it all from here
- The way it is organized
- Disease name
- Heart disease with frequent components bolded
- Hands – an image of the hands in the disease
Our Patient
65 year old female with longstanding history of SLE, Lupus Sjogren?s and Raynaud?s
SLE
Heart
- Pancarditis
- pericardium, pericarditis 25% most common
- myocardium, myocarditis is rare and caused by vasculitis
- endocardium ? Libman-Sacks 10% mitral and tricuspid valve
- myocardial infarction 9X increase
-
- Cardiac complications in about 50% and major cause of death
SLE and the Heart TCV
Scleroderma
-
Heart
- Pulmonary hypertension secondary to lung and renal disease
- right sided disease ? increase RV and RA
- Pancarditis
- pericardial disease
- myocardial disease, ? myocardial fibrosis
- conduction system abnormalities, arrhythmias,
- Endocardium and valvular disease ? infrequent
-
Hands
Soft Tissue Calcification Ulnar Deviation
Acroosteolysis
TCV –Scleroderma and the Heart
Rheumatoid Arthritis
Heart
- Increased incidence of
- congestive heart failure and
- ischemic heart disease associated with an
- increased mortality
- Pancarditis
Hands
Erosive Osteoarthritis dominant in the MCPs and Carpals
Rheumatoid Arthritis and Heart Disease TCV
RA and the Hand TCV
For more extensive info in see TCV on Hands and Heart
Next Marc Salomon, 65 F with fatigue and dyspnea