Cardiac involvement in progressive systemic sclerosis
Todesco, S.; Gatta, A.; Glorioso, S.; Chioin, R.; Peserico, A.; Zuin, R.; Merkel, C.
Acta Cardiologica 34(5): 311-322
1979
ISSN/ISBN: 0001-5385 PMID: 317205 Document Number: 148051
The case of a patient with progressive systemic sclerosis (PSS) who developed electro- and vectorcardiographic patterns of myocardial necrosis without clinical picture of myocardial infarction is reported. The coronarography showed no obstruction of coronary arteries and cineventriculography a hypodynamic enlarged left ventricle. The analysis of electrocardiograms from 43 other patients affected with PSS revealed myocardial necrosis in 5 of them. The clinical syndrome of myocardial infarction was absent in all these cases. Moreover, the hemodynamic investigation in 13 cases allowed to record a dip-plateau figure on the right ventricle pressure curve in 3 of them. In PSS, the electrocardiographic aspects of "necrosis" as well as hemodynamic restrictive findings or ventricular enlargement at ventriculography could indicate myocardial disease.