Cardiovascular Evaluation in Patients with Systemic Sclerosis in the Turkish Population

T. Kıvrak, Mehdi Karasu, O. Karaca, S. Koca
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Abstract

Cardiac involvement in systemic sclerosis (SSc) can lead to high morbidity and mortality. Therefore, early diagnosis and treatment are required. The aim of this study was to investigate the clinical, laboratory, and echocardiographic features of SSc, evaluate the proportion of patients with cardiovascular disease, and compare them with other population-based studies in the Turkish population. This study included 150 patients who were previously diagnosed and treated in the rheumatology clinic. Their age, sex, clinical signs and symptoms, laboratory and echocardiography findings, and concomitant diseases were evaluated. The results showed that the disease duration was <1 year and, at most, 11 years, with only one patient having elevated pulmonary artery pressure. In addition, patients with SSc in our region had similar demographic, clinical, laboratory, and echocardiographic features with those in other countries. This study demonstrated that hypertension is positively correlated with disease duration and the incidence of pulmonary hypertension is very low in patients with SSc.
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土耳其人群系统性硬化症患者的心血管评估
系统性硬化症(SSc)累及心脏可导致高发病率和死亡率。因此,需要早期诊断和治疗。本研究的目的是调查SSc的临床、实验室和超声心动图特征,评估心血管疾病患者的比例,并将其与土耳其人群中其他基于人群的研究进行比较。本研究包括150例既往在风湿病诊所诊断和治疗的患者。评估他们的年龄、性别、临床体征和症状、实验室和超声心动图检查结果以及伴随疾病。结果显示,病程<1年,最长11年,仅有1例患者肺动脉压升高。此外,我们地区的SSc患者与其他国家的SSc患者具有相似的人口统计学、临床、实验室和超声心动图特征。本研究表明,高血压与病程呈正相关,SSc患者肺动脉高压发生率极低。
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