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Updated: Jun 10, 2026

Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
Published on: June 16, 2020
Cardiac complications of systemic sclerosis: recent progress in diagnosis
Adel Boueiz1, Stephen C Mathai, Laura K Hummers
1Division of Pulmonary and Critical Care Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland 21224, USA.
Insights
Systemic sclerosis (SSc) can cause serious heart complications, often undetected. Early diagnosis of SSc heart disease is crucial for improving patient outcomes and life expectancy.
Area of Science:
- Cardiology
- Rheumatology
- Internal Medicine
Background:
- Systemic sclerosis (SSc) is a multisystem collagen vascular disease.
- Cardiac complications are common in SSc, yet often asymptomatic.
- Accurate assessment of cardiac involvement, particularly right ventricular function, remains challenging.
Purpose of the Study:
- To review current knowledge on cardiac dysfunction in SSc.
- To emphasize diagnostic strategies and prognostic implications of SSc-related heart disease.
Main Methods:
- Literature review of current information on SSc cardiac disease.
- Focus on diagnostic challenges and prognostic factors.
Main Results:
- Cardiac involvement in SSc is linked to a poor prognosis.
- Advanced diagnostic tools are improving SSc heart disease detection.
Conclusions:
- Early detection of SSc heart disease is vital.
- Identifying SSc cardiac dysfunction may enable new therapies.
- Improved management can enhance quality of life and survival in SSc patients.
Purpose Of Review:
Systemic sclerosis (SSc), a collagen vascular disease characterized by diverse organ system involvement, is associated with serious cardiac complications. Cardiac symptoms are much less frequent than autopsy-demonstrated cardiac involvement. Although frequent calls for early diagnosis have been made, validated strategies for assessment of scleroderma cardiac disease are not yet well established, mainly because the right ventricle, a common target of the disease, presents considerable obstacles to simple and reliable appraisal of its structure and function. This article reviews the current information about cardiac dysfunction in scleroderma, with special emphasis on its detection and prognostic implications.
Recent Findings:
Cardiac involvement is a harbinger of poor prognosis in patients with SSc. Recent progress in its diagnosis has been made with the availability of more sophisticated diagnostic tools.
Summary:
Early detection of scleroderma heart disease will allow exploration of novel therapies with potential positive impact on the quality of life and life expectancy of this patient population.
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