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The goal is to assess for myocardial edema on cardiac MRI during SLE flare to assess for myocardial inflammation.
The over-arching goal of this work is to further the understanding of myocardial damage in systemic lupus erythematosus (SLE) using state of the art CV imaging to investigate a novel potential mechanism of CV injury in SLE, subclinical myocardial inflammation.
Aim 1: Investigate an alternative pathway for CV morbidity in SLE by measuring myocardial edema at time of moderate to severe flare and compare values to post-flare studies and historical healthy controls.
Hypothesis 1: Myocardial edema, measured quantitatively with T2 CMR mapping during moderate to severe SLE flare will be significantly increased compared to 1) historical controls and 2) in SLE patients after resolution of flare.
Aim 2: Perform exploratory analyses investigating relationships between myocardial edema on CMR and markers of SLE disease activity and CV risk factors.
Hypothesis 2: Markers of disease activity including inflammatory makers (ESR and high sensitivity c-reactive protein), complement and autoantibody levels will predict the presence of T2 CMR detected myocardial edema during flare.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SLE active flare | Patients who are having an active flare of their lupus confirmed by labs |
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| Measure | Description | Time Frame |
|---|---|---|
| T2 edema on Cardiac MRI | Compare T2 edema at flare and 3 months later | 3 months |
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Inclusion Criteria:
• Diagnosis of SLE by American College of Rheumatology Classification Criteria [21]
Exclusion Criteria:
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Adults ages 18 years and older who are diagnosed with SLE
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| Name | Affiliation | Role |
|---|---|---|
| Stacy Ardoin, MD | Ohio State University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Stacy Payne Ardoin | Columbus | Ohio | 43221 | United States |
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