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Systemic sclerosis and the heart.

cardiac involvement

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#1 Joelf


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Posted 07 February 2014 - 07:01 AM

Systemic sclerosis and the heart.


Although no specific therapy exists for scleroderma heart disease, early recognition of the presence and type of scleroderma heart disease may lead to more effective management of patients. PubMed, rheumatologist Dis Clin North Am, 2014 Feb;40(1):87-102. (Also see: Cardiac (Heart) Involvement in Systemic Sclerosis)


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#2 Amanda Thorpe

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Posted 14 February 2014 - 09:54 PM

Here, here! Early detection is always best, unfortunately by the time the fibrosis caused to my heart by scleroderma was detected it had become inactive and the damage done. Had it been found whilst active a few doses of cyclophosphamide might have done the trick rather than having a biventricular ICD implanted. Not that a few doses of cyclophosphamide would have been an easy ride!


Thanks for this Jo, we mostly think that the sole cause of heart involvement in scleroderma is pulmonary hypertension but it's certainly not! It's also worth saying that heart irregularities are one of the earliest symptoms reported by diffuse systemic scleroderma patients. Systemic scleroderma can cause arrhythmias, pericardial effusion, and heart failure.


Take care.

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