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Related Experiment Videos

Echocardiographic alterations in systemic sclerosis: a longitudinal study.

Stefania Maione1, Giovanna Cuomo, Anna Giunta

  • 1Department of Clinical Medicine, Cardiovascular and Immunological Science, University of Naples Federico II, Italy. smaione@unina.it

Seminars in Arthritis and Rheumatism
|April 23, 2005
PubMed
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Systemic sclerosis (SSc) patients commonly develop left ventricular (LV) diastolic dysfunction, a progressive condition that precedes anatomical heart changes and indicates primary myocardial involvement.

Area of Science:

  • Cardiology
  • Rheumatology
  • Internal Medicine

Background:

  • Systemic sclerosis (SSc) is a multisystem autoimmune disease.
  • Cardiac involvement is a significant cause of morbidity and mortality in SSc.
  • Understanding the progression of cardiac alterations in SSc is crucial for patient management.

Purpose of the Study:

  • To investigate the longitudinal evolution of cardiac alterations in patients with systemic sclerosis (SSc).
  • To determine the prevalence and progression of left ventricular (LV) diastolic dysfunction in SSc.
  • To assess the relationship between diastolic dysfunction and myocardial remodeling in SSc.

Main Methods:

  • Retrospective analysis of echocardiographic and echo-Doppler data from 77 SSc patients.
  • Follow-up assessment at 65 +/- 36 months.

Related Experiment Videos

  • Comparison with 45 age- and sex-matched healthy controls.
  • Main Results:

    • Baseline LV diastolic dysfunction (inverted E/A ratio) was significantly more prevalent in SSc patients (23/77) than controls (1/45).
    • Over the follow-up period, LV diastolic function worsened in 6 additional SSc patients.
    • Significant changes in LV filling parameters and left atrial dimension indicated progressive cardiac involvement, independent of other causes.

    Conclusions:

    • LV diastolic dysfunction is highly prevalent in SSc and suggests primary myocardial involvement.
    • Long-term follow-up reveals progressive LV filling dysfunction in SSc.
    • Impaired LV filling precedes anatomical LV remodeling in systemic sclerosis.