Case reports in cardiology · 2026
Acute Heart Failure in Advanced Systemic Sclerosis With Multiorgan Involvement.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Eivindson Hanna Maria, Naesser Esben Uggerby, Ivarsen Per, Løgstrup Brian Bridal
Аннотация
BACKGROUND: Heart failure secondary to autoimmune diseases is uncommon. Systemic sclerosis (SSc) is a chronic autoimmune disorder marked by microvascular damage and progressive fibrosis in multiple organ systems.
CASE SUMMARY: A man in his 60s, without cardiovascular risk factors, presented with worsening dyspnea (in cardiogenic pulmonary edema), chronic finger cyanosis with ischemic ulcers, progressive dysphagia for about 2 years, and a 10 kg weight loss over 6-12 months. Echocardiography showed a severely impaired left ventricular ejection fraction of 10%. Computer tomography excluded malignancy but demonstrated pleural effusion and pulmonary edema. The patient received immediate treatment for cardiogenic pulmonary edema and was stabilized. Further diagnostic evaluation confirmed diffuse cutaneous systemic sclerosis (dcSSc).
DISCUSSION: Primary cardiac involvement as an initial manifestation of dcSSc is rare and remains a significant source of morbidity and mortality.
CASE SUMMARY: A man in his 60s, without cardiovascular risk factors, presented with worsening dyspnea (in cardiogenic pulmonary edema), chronic finger cyanosis with ischemic ulcers, progressive dysphagia for about 2 years, and a 10 kg weight loss over 6-12 months. Echocardiography showed a severely impaired left ventricular ejection fraction of 10%. Computer tomography excluded malignancy but demonstrated pleural effusion and pulmonary edema. The patient received immediate treatment for cardiogenic pulmonary edema and was stabilized. Further diagnostic evaluation confirmed diffuse cutaneous systemic sclerosis (dcSSc).
DISCUSSION: Primary cardiac involvement as an initial manifestation of dcSSc is rare and remains a significant source of morbidity and mortality.