A Case Report of Systemic Sclerosis Complicated by Biventricular Heart Failure, Pulmonary Hypertension and Review of Literature
Journal Title: International Journal of Cardiology and Research (IJCRR) - Year 2017, Vol 4, Issue 3
Abstract
Background: Systemic sclerosis (SSc) is an autoimmune connective tissue disorder whose aetiology is not fully understood. Skin fibrosis and visceral organs involvement are the hallmarks, and the heart could be disproportionately or subtly involved. Cardiovascular manifestations could include arrhythmias, pericarditis, myocardial fibrosis, pulmonary hypertension and congestive heart failure. Pulmonary involvement could cause lung fibrosis, arteriolar thickening, and pulmonary hypertension. The presence of these manifestations confers a poor prognosis. Case Report: The case report presents a 50-year-old male patient with generalized skin sclerosis, hypo and hyperpigmented skin lesions, dyspnoea at rest, displaced apical impulse, tachycardia and pan-systolic murmur at the apex radiating to the axilla. Echo cardiography features showed ejection fraction of 33.3% with dilated atrial and ventricular chambers. Conclusions: We present a case systemic sclerosis complicated by biventricular heart failure and pulmonary hypertension.
Authors and Affiliations
Adeolu Oladayo Akinboro
A Rare Case of Situs Inversus with Mesocardia
A ten year old male child having congenital heart disease admitted with recurrent history of respiratory infection. ECHO cardioraphy showed Mesocardia, congenitally corrected TGA, bidirectional VSD and severe pulmonary v...
Takotsubo Syndrome Triggered by Acute Coronary Syndrome in a Cohort of 20 Patients: An often Missed Diagnosis
Background: In spite of being a major stress factor, acute coronary syndrome (ACS) is still regarded as an exclusion criterion for takotsubo syndrome (TS). The aim of the study is to find out an association between ACS,...
Predictors and Outcomes of No-Reflow Phenomenon Following Primary Percutaneous Intervention for ST Elevation Myocardial Infarction
Background: The term no-reflow was first used by Majno and colleagues in the setting of cerebral ischemia in 1967. This phenomenon was initially described by Krug et al. during induced myocardial infarction in the canine...
Unprotected Distal LMCA Angioplasty with Simulataneous Kissing Stent (SKS) Technique in Left Dominant Coronary Circulation: A Nightmare for Interventionist
Left main coronary artery stenosis is the most challenging lesion in patients with acute coronary syndromes. Since the amount of myocardium at risk is very high, the patient is often in cardiogenic shock, and the risk of...
Case Report of Making Diagnosis and Successful Surgical Treatment of Double Aortic Arch in Vietnam National Children’s Hospital
A 3 years old girl presented with prolonged pneumonia which was poor response to usual treatment. History: Normal past obstetric history, recurrent pneumonia since 1 year old, allergic to shrimp; no family history of a...