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Chest, Vol 67, 116-119, Copyright © 1975 by American College of Chest Physicians

ARTICLES

Scleroderma heart disease with slow flow velocity in coronary arteries

MP Gupta, S Zoneraich, W Zeitlin, O Zoneraich and W D'Angelo

A young woman with scleroderma heart disease is presented. Complete work-up including hemodynamic studies revealed biventricular dysfunction, left ventricular hypokinesia and normal coronary arteries with slow flow velocity in coronary arteries. This finding, though not diagnostic, is consistent with small vessels disease secondary to scleroderma. Favorable prognosis in our patient on medical management is encouraging. No conclusions can be drawn on the basis of one patient. Further work is warranted in scleroderma patients with cardiomegaly to define the status of the myocardial microcirculation and its possible role in their prognosis.




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Copyright © 1975 by the American College of Chest Physicians.