Cardiac Magnetic Resonance Imaging and Clinical Follow-up in Antimalarial-induced Cardiomyopathy in Patients With Systemic Lupus Erythematosus.


Journal

Journal of thoracic imaging
ISSN: 1536-0237
Titre abrégé: J Thorac Imaging
Pays: United States
ID NLM: 8606160

Informations de publication

Date de publication:
01 May 2023
Historique:
medline: 1 5 2023
pubmed: 3 2 2023
entrez: 2 2 2023
Statut: ppublish

Résumé

Antimalarial-induced cardiomyopathy is under-recognized in clinical practice and there is limited data on the evolution of cardiac imaging abnormalities after cessation of anti-malarial therapy. In this case series of 9 patients with antimalarial-induced cardiomyopathy, follow-up cardiac magnetic resonance imaging demonstrated interval increase in late gadolinium enhancement extent in 89% of patients and interval decrease in left ventricular ejection fraction in all, despite cessation of anti-malarial therapy. Progression of cardiac abnormalities despite cessation of therapy underscores the important role of imaging in the early recognition of antimalarial-related treatment changes.

Identifiants

pubmed: 36728467
doi: 10.1097/RTI.0000000000000694
pii: 00005382-202305000-00010
doi:

Substances chimiques

Antimalarials 0
Contrast Media 0
Gadolinium AU0V1LM3JT

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

W30-W32

Informations de copyright

Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.

Déclaration de conflit d'intérêts

K.H. has received a speaker’s honorarium from Sanofi-Genzyme, Amicus, and Medscape. P.T. has received speaker’s honorarium from Amgen, BI, and Takeda. The remaining authors declare no conflicts of interest.

Références

Tselios K, Deeb M, Gladman DD, et al. Antimalarial-induced cardiomyopathy: a systematic review of the literature. Lupus. 2018;27:591–599.
Hanneman K, Alberdi HV, Karur GR, et al. Antimalarial-induced cardiomyopathy resembles fabry disease on cardiac MRI. JACC Cardiovasc Imaging. 2020;13:879–881.
Michaelides M, Stover NB, Francis PJ, et al. Retinal toxicity associated with hydroxychloroquine and chloroquine: risk factors, screening, and progression despite cessation of therapy. Arch Ophthalmol. 2011;129:30–39.
Tett SE. Clinical pharmacokinetics of slow-acting antirheumatic drugs. Clin Pharmacokinet. 1993;25:392–407.
Mackenzie AH. Pharmacologic actions of 4-aminoquinoline compounds. Am J Med. 1983;75:5–10.
Frustaci A, Morgante E, Antuzzi D, et al. Inhibition of cardiomyocyte lysosomal activity in hydroxychloroquine cardiomyopathy. Int J Cardiol. 2012;157:117–9.
Hanneman K, Karur GR, Wasim S, et al. Left ventricular hypertrophy and late gadolinium enhancement at cardiac MRI are associated with adverse cardiac events in fabry disease. Radiology. 2020;294:42–49.

Auteurs

Tamar Shalmon (T)

Joint Department of Medical Imaging.
Department of Radiology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.

Paaladinesh Thavendiranathan (P)

Joint Department of Medical Imaging.
Peter Munk Cardiac Centre, Toronto General Hospital, University Health Network, University of Toronto.

Paula Harvey (P)

Department of Cardiology, Women's College Hospital, University of Toronto, Toronto.

Shadi Akhtari (S)

Department of Cardiology, Women's College Hospital, University of Toronto, Toronto.

Kostantinos Tselios (K)

Division of Rheumatology, Centre for Prognosis Studies in the Rheumatic Diseases, University Health Network, University of Toronto Lupus Clinic, Toronto Western Hospital, University of Toronto, Toronto, ON, Canada.

Dafna D Gladman (DD)

Division of Rheumatology, Centre for Prognosis Studies in the Rheumatic Diseases, University Health Network, University of Toronto Lupus Clinic, Toronto Western Hospital, University of Toronto, Toronto, ON, Canada.

Kate Hanneman (K)

Joint Department of Medical Imaging.
Peter Munk Cardiac Centre, Toronto General Hospital, University Health Network, University of Toronto.

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Classifications MeSH