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Pathology of the Cardiac Conduction System in Systemic Lupus Erythematosus
129
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16
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1965
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Cardiac MuscleHeart FailureSystemic DiseasesPathologyPublic HealthCardiologyMyocardial InfarctionConduction SystemCardiomyopathyCardiorenal SyndromesSystemic Lupus ErythematosusSystemic Lupus Erythematosus TreatmentLupus NephritisCardiac PathologyCardiovascular DiseaseLupusCardiac PhysiologyPhysiologyCardiac Conduction SystemCardiac ElectrophysiologyElectrophysiologyCardiovascular PhysiologyMedicineEmergency Medicine
Article1 September 1965Pathology of the Cardiac Conduction System in Systemic Lupus ErythematosusTHOMAS N. JAMES, M.D., F.A.C.P., CLARENCE E. RUPE, M.D., F.A.C.P., RAYMOND W. MONTO, M.D., F.A.C.P.THOMAS N. JAMES, M.D., F.A.C.P., CLARENCE E. RUPE, M.D., F.A.C.P., RAYMOND W. MONTO, M.D., F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-63-3-402 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptCardiac involvement by systemic lupus erythematosus (SLE) is sometimes manifested by arrhythmias or conduction disturbances. How often the heart is found to be involved depends on how carefully such involvement is sought, but it has recently been suggested that cardiac lesions will develop at some time in nearly all patients with this disease, when life is prolonged by modern antibiotic and steroid therapy (1). Although the documented incidence of arrhythmias or conduction disturbances in SLE is seldom reported to be more than 10% (1-5), one can reasonably suspect that the undocumented paroxysmal disturbances in cardiac electrical mechanisms are considerably more...References1. BRIGDENBYWATERSLESSOFROSS WEGMHIP: The heart in systemic lupus erythematosus. Brit. Heart J. 22: 1, 1960. CrossrefMedlineGoogle Scholar2. HARVEYSHULMANTUMULTYCONLEYSHOENRICH AMLPCEH: Systemic lupus erythematosus: review of literature and clinical analysis of 138 cases. Medicine 33: 291, 1954. CrossrefMedlineGoogle Scholar3. DUBOISTUFFANELLI ELDL: Clinical manifestations of systemic lupus erythematosus. JAMA 190: 112, 1964. CrossrefMedlineGoogle Scholar4. KONGKELLUMHASERICK TQREJR: Clinical diagnosis of cardiac involvement in systemic lupus erythematosus. A correlation of clinical and autopsy findings in thirty patients. Circulation 26: 7, 1962. CrossrefMedlineGoogle Scholar5. HEJTMANCIKWRIGHTQUINTJENNINGS MRJCRFL: The cardiovascular manifestations of systemic lupus erythematosus. Amer. Heart J. 68: 119, 1964. CrossrefMedlineGoogle Scholar6. JAMES TN: Anatomy of the human sinus node. Anat. Rec. 141: 109, 1961. CrossrefMedlineGoogle Scholar7. JAMES TN: Morphology of the human atrioventricular node, with remarks pertinent to its electrophysiology. Amer. Heart J. 62: 756, 1961. CrossrefMedlineGoogle Scholar8. WORTHINGTONBAGGENSTOSSHARGRAVES JWAHMM: Significance of hematoxylin bodies in the necropsy diagnosis of systemic lupus erythematosus. Amer. J. Path. 35: 955, 1959. MedlineGoogle Scholar9. JAMES TN: Pericarditis and the sinus node. Arch. Intern. Med. (Chicago) 110: 305, 1962. CrossrefMedlineGoogle Scholar10. HARRISON CV: Experimental pulmonary arteriosclerosis. J. Path. Bact. 60: 289, 1948. CrossrefMedlineGoogle Scholar11. HARRISON CV: Experimental pulmonary hypertension. J. Path. Bact. 63: 195, 1951. CrossrefMedlineGoogle Scholar12. MUIRHEADMONTGOMERY EEPO: Thromboembolic pulmonary arteritis and vascular sclerosis. Arch. Path. (Chicago) 52: 505, 1951. MedlineGoogle Scholar13. JAMES TN: Myocardial infarction and atrial arrhythmias. Circulation 24: 761, 1961. CrossrefMedlineGoogle Scholar14. SÖDERSTRÖM N: Myocardial infarction and mural thrombosis in the atria of the heart. Acta Med. Scand. (Suppl. 217), 1948. Google Scholar15. JAMESNADEAU TNRA: A study of retrograde pressure and pulse in the sinus node artery. Amer. Heart J. 66: 343, 1963. CrossrefMedlineGoogle Scholar16. JAMESNADEAU TNRA: Sinus bradycardia during injections directly into the sinus node artery. Amer. J. Physiol. 204: 9, 1963. CrossrefMedlineGoogle Scholar17. JAMESNADEAU TNRA: Relation of retrograde pressure in the sinus node artery to sinus tachycardia from stellate stimulation. J. Lab. Clin. Med. 62: 777, 1963. MedlineGoogle Scholar18. JAMESNADEAU TNRA: The effects of vagal stimulation, eserine and atropine on retrograde pressure in the sinus node artery. Henry Ford Hosp. Med. Bull. 12: 23, 1964. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: THOMAS N. JAMES, M.D., F.A.C.P.; CLARENCE E. RUPE, M.D., F.A.C.P.; RAYMOND W. MONTO, M.D., F.A.C.P.Affiliations: Detroit, MichiganFrom the Department of Medicine, Henry Ford Hospital, Detroit, Mich.Supported in part by a grant from the Michigan Heart Association, Detroit, Mich., and grants H-5197 and H-7108, U. S. Public Health Service, Bethesda, Md.Requests for reprints should be addressed to Thomas N. James, M.D., Henry Ford Hospital, Detroit, Mich. 48202. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byArrhythmias and Conduction Disturbances in Autoimmune Rheumatic DisordersOutcomes of Atrial Fibrillation Hospitalizations in Patients with Systemic Lupus Erythematosus: A Report from the National Inpatient SampleSinus node disfunction in an adolescent with systemic lupus erythematosusInflammation Injury and Selected Disease Processes Causing Aortic Root and Aortic Valvular InflammationComplete heart block in lupusSevere brady-arrhythmias in systemic lupus erythematosus: prevalence, etiology and associated factorsCardiac Involvement in Systemic Lupus ErythematosusPersistent atrial standstill in acute myocarditisElectrocardiograms in a Woman With Systemic Lupus ErythematosusManifestaciones cardiovasculares en pacientes con lupus eritematoso sistémico en una institución de referencia en Cundinamarca, Colombia, durante un periodo de un añoSinus node dysfunction in adult systemic lupus erythematosus flare: A case reportEvidence for cardiac safety and antiarrhythmic potential of chloroquine in systemic lupus erythematosusPost-shock sinus node recovery time is an independent predictor of recurrence after catheter ablation of longstanding persistent atrial fibrillationCardiac and Vascular Disease in SLEVasculitisDevelopment of various arrhythmias and conduction disturbances following corticosteroid therapy for systemic lupus erythematosus with antiphospholipid syndromeArrhythmias and Conduction Defects in Rheumatological Diseases—A Comprehensive ReviewSudden adult deathConnective Tissue Diseases and the HeartBloqueo auriculoventricular completo en pacientes adultos con lupus eritematoso sistémico. Casuística propia y revisión de la bibliografíaLetter to the EditorVariable atrioventricular block in systemic lupus erythematosusPulmonary Vein Isolation for Atrial Fibrillation in Patients with Symptomatic Sinus Bradycardia or PausesCARDIOVASCULAR SYSTEMIC LUPUS ERYTHEMATOSUSSYSTEMIC LUPUS ERYTHEMATOSUS AND THE CARDIOVASCULAR SYSTEM: VASCULITISCardiac Involvement in Systemic Lupus ErythematosusMyocarditis in systemic lupus erythematosusInflammatory Diseases of the Coronary ArteryComplete heart block in an adult with systemic lupus erythematosus and recent onset of hydroxychloroquine therapyComplete Congenital Heart Block: A Review and Case StudyCardiac Involvement in Systemic Lupus ErythematosusThe heart in systemic lupus erythematosusEtiology and complications of atrial fibrillation: insights from pathology studiesApoptosis as a Possible Cause of Gradual Development of Complete Heart Block and Fatal Arrhythmias Associated With Absence of the AV Node, Sinus Node, and Internodal PathwaysCase 11-1995The toxic oil syndromeComplete Heart Block in an Adult with Systemic Lupus ErythematosusAnatomy, histology, and pathology of the cardiac conduction system-part VCardiac abnormalities in the toxic oil syndrome, with comparative observations on the eosinophilia-myalgia syndromeCoronary flow reserveHistologic abnormalities of large and small coronary arteries, neural structures, and the conduction system of the heart found in postmortem studies of individuals dying from the toxic oil syndromeHeart block in systemic lupus erythematosus complicated by Pacemaker "exit block"Morphologic characteristics and functional significance of focal fibromuscular dysplasia of small coronary arteriesThe spectrum of diseases of small coronery arteries and their physiologic consequencesFamily studies of congenital heart block associated with Ro antibody.High-grade atrioventricular heart block in an adult with systemic lupus erythematosus: The association of nuclear RNP (U1 RNP) antibodies, a case report, and review of the literatureAnti-Ro Antibodies and Neonatal LupusThe role of endomyocardial biopsy in the diagnosis of cardiac involvement in systemic lupus erythematosusEntzündliche Myokardbeteiligung bei Kollagenkrankheiten und weiteren rheumatischen ErkrankungenKonventionelle und intrakardiale ElektrokardiographieSystemic Lupus ErythematosusCardiovascular involvement in systemic lupus erythematosusNeonatal Lupus with Congenital Atrioventricular Block and MyocarditisPathology of the heart and conduction system in lymphoma and leukaemia.Cardiovascular manifestations of systemic lupus erythematosus: Current perspectiveINFANTILE COMPLETE HEART BLOCK ASSOCIATED WITH MATERNAL Ro(SS-A) RIBONUCLEOPROTEIN AUTOANTIBODIES: REPORT OF TWO CASESSpecific heart muscle diseasesPathology of the heart and the cardiac conduction system in Wegener's granulomatosis.Conduction Disturbance in Behçet's DiseaseSir Thomas Lewis redivivus: from pebbles in a quiet pond to autonomic storms.Sinus Node DysfunctionClinical significance of anti-Sm antibodies in systemic lupus erythematosusThrombi in antrum atrii dextri of human heart as clinically important source for chronic microembolisation to lungs.Myocarditis and Cardiomyopathy: The Panoramic Nature of Their Etiology, Pathogenesis, and Clinical Consequences, with Special Consideration of the Involvement of the Conduction SystemAnatomie und pathologische Anatomie des spezifischen Reizbildungs- und Erregungsleitungssystems sowie des kontraktilen MyokardsÄtiologie kardialer RhythmusstörungenTerminology of disorders of cardiac muscleChance and sudden deathCardiac Manifestations of SLEPanconductional Defect in Mixed Connective Tissue DiseaseKonventionelle und intrakardiale ElektrokardiographieSpezifische Herzmuskelerkrankungen und KardiomyopathienCongenital complete heart block and persistent ductus arteriosus associated with maternal systemic lupus erythematosus.Immunopathology of cardiac lesions in fatal systemic lupus erythematosusSudden death while drivingNeural Pathology of the Heart in Sudden DeathTemporary atrial standstillCase 39-1979Anatomy and Pathology of the Conduction System of the Human HeartDe subitaneis mortibus. XXVIII. Apoplexy of the heart.Intrathoracic lymphoma associated with atrial arrhythmias and atrioventricular conduction defectsThe sinus nodeAssociation of Maternal Systemic Lupus Erythematosus with Congenital Complete Heart BlockCardiac Toxicity of ClonidinePericardial effusion and mitral valve involvement in systemic lupus erythematosus. Echocardiographic study.Clinicopathologic correlations. De subitaneis mortibus. XXV. Sarcoid heart disease.Congenital heart block in newborns of mothers with connective tissue disease.De subitaneis mortibus. XXIII. Rheumatoid arthritis and ankylosing spondylitis.Conduction system in systemic lupus erythematosus with atrioventricular blockThe heart in systemic lupus erythematosus and the changes induced in it by corticosteroid therapyEntzündliche Herzerkrankungen und KardiomyopathienDe Subitaneis MortibusBrady-tachy syndromePersistent atrial standstillThe vasculature of the atrioventricular conduction system in heart blockBrief Reviews : The Sinus Node as a ServomechanismMysterious Sudden DeathTransient and Persistent Atrial Standstill with His Bundle LesionsCardiac conduction system: Fetal and postnatal developmentSudden death in babies: New observations in the heartMedical and physiological considerations in the use of artificial cardiac pacing. Part IThe coronary circulation and conduction system in acute myocardial infarctionAppearance of Hodgkin's disease in a patient with systemic lupus erythematosusPathology of small coronary arteriesRepetitive tachycardiaPathology of the Cardiac Conduction System in Thrombotic Thrombocytopenic PurpuraTHOMAS N. JAMES, M.D., F.A.C.P., RAYMOND W. MONTO, M.D., F.A.C.P. 1 September 1965Volume 63, Issue 3Page: 402-410KeywordsArrhythmiaFibrosisHeartHeart diseasesHospital medicineInflammationLesionsLupus erythematosusMedical servicesSteroid therapy ePublished: 1 December 2008 Issue Published: 1 September 1965 PDF downloadLoading ...
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