Arrhythmias and conduction disturbances in patients with systemic sclerosis—A systematic literature review
Journal article
Vrancianu, Cristina Andreea, Gheorghiu, A., Popa, Dragos Emanuel, Chan, J., Satti, D., Lee, Yan Hiu Athena, Hui, J., Tse, G., Ancuta, Ioan, Ciobanu, Ana and Bojinca, Mihai 2022. Arrhythmias and conduction disturbances in patients with systemic sclerosis—A systematic literature review. International Journal of Molecular Sciences. 23 (21), p. 12963. https://doi.org/10.3390/ijms232112963
Authors | Vrancianu, Cristina Andreea, Gheorghiu, A., Popa, Dragos Emanuel, Chan, J., Satti, D., Lee, Yan Hiu Athena, Hui, J., Tse, G., Ancuta, Ioan, Ciobanu, Ana and Bojinca, Mihai |
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Abstract | Systemic sclerosis (SSc) is an autoimmune disease characterized by skin and internal organ fibrosis and microvascular impairment, which can affect major organs, including the heart. Arrhythmias are responsible for approximately 6% of deaths in patients with SSc, and mainly occur due to myocardial fibrosis, which causes electrical inhomogeneity. The aim of this study was to determine the frequency of arrhythmias and conduction disturbances in SSc cohorts, and to identify the characteristics and risk factors associated with the occurrence of dysrhythmias in patients with SSc. A systematic literature review using PubMed, Embase, Web of Science and Scopus databases was performed. Full-text articles in English with arrhythmias as the main topic published until 21 April 2022 were included. Most prevalent arrhythmias were premature supraventricular and ventricular contractions, while the most frequent conduction disturbance was represented by right bundle branch block (RBBB). Elevated concentrations of N-terminal prohormones of brain natriuretic peptides (NT-pro BNP) were associated with numerous types of atrial and ventricular arrhythmias, and with the occurrence of RBBB. A lower value of the turbulence slope (TS) emerged as an independent predictor for ventricular arrhythmias. In conclusion, dysrhythmias are frequent in SSc cohorts. Paraclinical and laboratory parameters are useful instruments that could lead to early diagnosis in the course of the disease. |
Keywords | Systemic sclerosis; Arrhythmias; Conduction disturbances |
Year | 2022 |
Journal | International Journal of Molecular Sciences |
Journal citation | 23 (21), p. 12963 |
Publisher | MDPI AG |
ISSN | 1422-0067 |
Digital Object Identifier (DOI) | https://doi.org/10.3390/ijms232112963 |
Official URL | https://www.mdpi.com/1422-0067/23/21/12963 |
Publication dates | |
Online | 26 Oct 2022 |
Publication process dates | |
Accepted | 18 Oct 2022 |
Deposited | 19 Aug 2024 |
Publisher's version | License File Access Level Open |
Output status | Published |
Permalink -
https://repository.canterbury.ac.uk/item/98v20/arrhythmias-and-conduction-disturbances-in-patients-with-systemic-sclerosis-a-systematic-literature-review
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