Bennis A, Soulami S, Azzouzi L, Tahiri A, Chraibi N
Centre de Cardiologie, Centre Hospitalier Universitaire Ibn Rochd, Casablanca, Maroc.
Ann Cardiol Angeiol (Paris). 1995 Mar;44(3):119-24.
Based on a series of four cases and a review of the literature, the authors describe the lesions of the various cardiac tissues in the course of systemic scleroderma. Pericardial involvement presents in the form of either acute pericarditis or chronic pericarditis. Pericardial tamponade is exceptional. Sclerodermal cardiomyopathy is frequent and serious and can be responsible for heart failure. Arrhythmias are frequent and may be either ventricular or supraventricular. Involvement of the conduction tissue often requires implantation of a pacemaker. Endocardial and valvular involvement is very rare. Lastly, coronary involvement appears to be fairly rare and responsible for vasospastic episodes in the coronary artery territory.
基于四个病例系列及文献综述，作者描述了系统性硬化症病程中不同心脏组织的病变情况。心包受累表现为急性心包炎或慢性心包炎。心包填塞较为罕见。硬皮病性心肌病常见且严重，可导致心力衰竭。心律失常很常见，可为室性或室上性。传导组织受累常需植入起搏器。心内膜和瓣膜受累非常罕见。最后，冠状动脉受累似乎相当罕见，可导致冠状动脉区域的血管痉挛发作。
