TY - JOUR AU - Matucci-Cerinic, Marco AB - RHEUMATOLOGY Letters to the Editor Rheumatology 2013;52:19201921 protocol no. 2849). The patient’s written informed consent doi:10.1093/rheumatology/ket002 was obtained according to the Declaration of Helsinki. Advance Access publication 12 March 2013 At cardiac MRI, ECG-gated 1.5 T cine (steady-state free procession) images confirmed normal left ventricular (LV) Early detection of myocardial and pulmonary volumes and global and regional systolic function oedema with MRI in an asymptomatic systemic (indexed end-diastolic LV and end-systolic LV volumes sclerosis patient: successful recovery with were 80 and 26 ml/m , respectively; the LV ejection frac- pulse steroid tion was 67%). T2-weighted fast spin-echo images (fat suppression using the inversion-recovery technique) re- SIR, Cardiac involvement is frequent in SSc, accounting for vealed marked and diffuse myocardial enhancement at a substantial proportion of the mortality of the disease [1]. basal and middle myocardial segments, in particular in In these patients, cardiac involvement is usually asymp- the inferior septum and inferior wall (Fig. 1a). MRI thorax tomatic, but when it becomes clinically evident, extensive axial fat suppression T2-weighted images showed an damage to the myocardium is already established and the enhanced area of the middle and basal posterior lung re- treatment is rarely effective. These patients are exposed TI - Early detection of myocardial and pulmonary oedema with MRI in an asymptomatic systemic sclerosis patient: successful recovery with pulse steroid JO - Rheumatology DO - 10.1093/rheumatology/ket002 DA - 2013-10-12 UR - https://www.deepdyve.com/lp/oxford-university-press/early-detection-of-myocardial-and-pulmonary-oedema-with-mri-in-an-vPyur55SRN SP - 1920 EP - 1921 VL - 52 IS - 10 DP - DeepDyve ER -