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Review
. 2018 Mar 20:2018:4528148.
doi: 10.1155/2018/4528148. eCollection 2018.

Right Ventricle Remodeling and Function in Scleroderma Patients

Roxana Cucuruzac  1 , Iolanda Muntean  1 , Imre Benedek  1 , Andras Mester  1 , Nora Rat  1 , Adriana Mitre  1 , Monica Chitu  1 , Theodora Benedek  1
Affiliations
Review

Right Ventricle Remodeling and Function in Scleroderma Patients

Roxana Cucuruzac et al. Biomed Res Int. .

Abstract

Scleroderma, known also as systemic sclerosis (SSc), is a severe disease associated with high mortality rates, and right ventricular (RV) remodeling and dysfunction, along with pulmonary artery hypertension (PAH), are among the most important internal organ manifestations of this disease. PAH has a higher prevalence in patients with SSc compared to the general population and represents a significant predictor of mortality in SSc. In patients with SSc, the morphological remodeling and alteration of RV function begin even before the setting of PAH and lead to development of a specific adaptive pattern of the RV which is different from the one recorded in patients with IAPH. These alterations cause worse outcomes and increased mortality rates in SSc patients. Early detection of RV dysfunction and remodeling is possible using modern imaging tools currently available and can indicate the initiation of specific therapeutic measures before installation of PAH. The aim of this review is to summarize the current knowledge related to mechanisms involved in the remodeling and functional alteration of the RV in SSc patients.

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Figures

Figure 1
Figure 1
The complex interrelation between the mechanisms involved in development of RV dysfunction and remodeling.
See this image and copyright information in PMC

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