CARDIAC INVOLVEMENT IN PATIENTS OF SYSTEMIC SCLEROSIS |
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| Authors: | Qazi Masood Ahmad Iffat Hassan Shah Qazi Nauman Farah Sameem and MA Kamili |
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| Institution: | From the Department of Dermatology, STD and Leprosy and Department of Internal Medicine, Government Medical College, Srinagar Kashmir (Jammu and Kashmir), India |
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| Abstract: | Background:Systemic sclerosis is a multi-systemic autoimmune disorder. Cardiac involvement by the disease, although not included in the diagnostic criteria, may be seen either clinically, histologically or may be revealed by various investigative modalities.Purpose:To see the profile of cardiac involvement in patients of systemic sclerosis.Materials and Methods:Forty-seven patients of systemic sclerosis were included in the study. After taking a complete history and doing a detailed physical examination, the patients were submitted to electrocardiogram ECG (all leads), echocardiography and x-ray chest. Furst''s organ indices scoring system for cardiac involvement was followed.Findings:Forty-seven patients of systemic sclerosis were included in the study. Five females gave a history of palpitations. A loud pulmonic heart sound was heard in 1. Arrhythmias were observed in 5 patients. Significantly, echocardiography revealed valvular involvement in 5 patients. Left ventricular hypertrophy was seen in 2 patients.Conclusions:In our patients, cardiac involvement was rare. In contrast to other studies, valvular involvement was a prominent feature.Limitations:Complete evaluation for arrhythmias with 24-h Holter monitor was not used |
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| Keywords: | Cutaneous metastases melanoma cardiac involvement systemic sclerosis ventricular hypertrophy |
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