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Is heart transplantation a valuable option in patients with diffuse systemic sclerosis and primary cardiac

Frédéric Turcotte-Gosselin1, Pierre Yves Turgeon1, Alena Ikic2

  • 1Department of Cardiology Institut Universitaire de Cardiologie et de Pneumologie de Québec Laval University Quebec QC Canada.

Clinical Case Reports
|January 31, 2020
PubMed

Insights

Systemic sclerosis patients with cardiac issues can be diagnosed using cardiac MRI, indicating a poor outlook. Heart transplantation may be a life-saving option for these individuals.

Area of Science:

  • Cardiology
  • Rheumatology
  • Medical Imaging

Background:

  • Systemic sclerosis is an autoimmune disease affecting connective tissues.
  • Primary cardiac involvement in systemic sclerosis is linked to poor prognosis.
  • Cardiac magnetic resonance imaging (CMR) is a key diagnostic tool.

Observation:

  • This case report focuses on a patient with systemic sclerosis and primary cardiac involvement.
  • The patient's condition was diagnosed using CMR.
  • The prognosis for such patients is generally poor.

Findings:

  • Cardiac magnetic resonance imaging reliably diagnoses primary cardiac involvement in systemic sclerosis.
  • Primary cardiac involvement in systemic sclerosis portends a poor prognosis.
  • Heart transplantation is a potential lifesaving intervention for select patients.

Implications:

  • Early and accurate diagnosis of cardiac involvement is crucial for managing systemic sclerosis.
  • Considering advanced therapies like heart transplantation may improve outcomes.
  • This case underscores the multidisciplinary approach needed for complex systemic sclerosis patients.

Keywords:
cardiac magnetic resonance imagingheart failureheart transplantationsystemic sclerosis

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