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Aqui
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The clinical impact of the presence of Libman–Sacks vegetations is associated with the probable progression to more severe valve dysfunction and a probable tendency to develop thrombotic events. The size of a vegetations is a predictor for embolic events, congestive heart failure, and death, and is important for the assessment of treatment.
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CONCLUSION: TEE is superior to TTE for detection of Libman-Sacks endocarditis and should be considered either as complement to a nondiagnostic TTE or as the initial test in patients with SLE with suspected cardioembolism, acute or subacute Libman-Sacks endocarditis with moderate or worse valve dysfunction, or superimposed infective endocarditis..
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Outro pedido, não tão frequente, relaciona-se a pacientes com Lupus.
Acredito que achamos pouco por não procurarmos mais.
Inclusive com transesofágico, como mostra o estudo acima.
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