Evidence map›Paper›PMID 40890015›Full record

ArticleLupus science & medicine2025

Enhancing predictions of subclinical cardiac dysfunction in SLE patients through integrative machine learning analysis.

Yuhong Liu, Siwei Xie, Zhiming Lin, Changlin Zhao

Abstract read
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Article in Lupus science & medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Yuhong Liu *Department of Rheumatology and Immunology, Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.ORCID 0009-0001-3030-8327
Siwei Xie *Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.ORCID 0009-0000-1602-2296
Zhiming LinDepartment of Rheumatology, Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China lzm-zj99@163.com.
Changlin ZhaoDepartment of Cardiovascular, Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the two-dimensional speckle-tracking echocardiography (2D-STE) parameters associated with early impaired left ventricular systolic function in SLE patients and to estimate the potential clinical factors that may trigger and influence left ventricular systolic dysfunction.

methodsThis study collected a total of 36 patients admitted to the rheumatology and immunology department of Sun Yat-sen University between January 2020 and December 2021, who were newly diagnosed with SLE and had a Systemic Lupus Erythematosus Disease Activity Index 2000 Score≥4 points. An equal number of healthy controls matched for gender and age were included. All participants underwent routine echocardiography and two-dimensional speckle-tracking echocardiography (2D-STE) examinations. Various clinical data were also collected. Machine learning and regressions were used to estimate potential risk factors for left ventricular systolic dysfunction in SLE patients.

resultsSignificant differences in 2D-STE parameters were found, including global longitudinal peak systolic strain (GLPS) (p-adjust<0.001), GLPS strain obtained from the apical two-chamber view and GLPS strain obtained from the apical four-chamber view (GLPS-A4C) (p-adjust=0.005), and GLPS strain obtained from the apical long-axis view (GLPS-APLAX) (p-adjust=0.003) between SLE patients and controls. Machine learning models, particularly GLPS-APLAX, showed excellent discrimination ability with an AUC of 0.93 (95% CI: 0.89 to 0.96) and an area under the precision-recall curve of 0.96. Multivariate regression further highlighted the inverse relationship between anti-U1 small nuclear ribonucleoprotein (U1RNP) antibodies and four GLPS-related continuous variable measures, with GLPS, GLPS-A4C and GLPS-APLAX measures having statistically significant effects (eg, GLPS coefficient=-3.71, 95% CI: -5.91 to -1.51, p=0.002).

conclusionsThis case-control study revealed that 2D-STE parameters can be used to predict subclinical cardiac dysfunction in SLE patients, and anti-U1RNP antibodies may be an essential predictive clinical factor. Machine learning may further assist in preliminary screening and quantifying left ventricular systolic dysfunction reasons in SLE patients.

Indexed as

EchocardiographyLupus Erythematosus, SystemicMachine LearningVentricular Dysfunction, LeftAdultCase-Control StudiesFemaleHumansMaleMiddle AgedRisk FactorsAutoantibodiesCardiovascular DiseasesSystemic Lupus Erythematosus

Identifiers

PMID40890015
PMCPMC12406935

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