Points to consider when doing a trial primarily involving the heart
- PMID: 28992169
- PMCID: PMC5850499
- DOI: 10.1093/rheumatology/kex198
Points to consider when doing a trial primarily involving the heart
Abstract
Cardiac involvement contributes to the severity of SSc and should carefully be investigated and managed in SSc patients. Although it is commonly sub-clinical, once symptomatic it has a poor prognosis. Several complementary tools (circulating biomarkers, electrocardiography, echocardiography, scintigraphy or MRI) allow the assessment of all the various cardiac structures (endocardium, myocardium and pericardium) and heart function. Treatment remains empirical but cardiac trials in SSc can add data to the treatment of this complication.
Keywords: arrhythmia; cardiac fibrosis; heart; heart failure; myocarditis; pericarditis; systemic sclerosis.
© The Author 2017. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oup.com.
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