SHORT COMMUNICATION |
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Year : 2008 | Volume
: 53
| Issue : 4 | Page : 215-216 |
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Cardiac involvement in patients of systemic sclerosis
Qazi Masood Ahmad, Iffat Hassan Shah, Qazi Nauman, Farah Sameem, MA Kamili
Department of Dermatology, STD and Leprosy and Department of Internal Medicine, Government Medical College, Srinagar Kashmir (Jammu and Kashmir), India
Correspondence Address:
Qazi Masood Ahmad House No: 214 Karan Nagar Gole Market, Srinagar Kashmir (Jammu and Kashmir) India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0019-5154.44801
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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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