CTICasesSystemic Sclerosis-Associated Myocardial Fibrosis
Imaging findings
Cardiac MRI shows asymmetric left ventricular wall motion, reduced function, and pronounced subendocardial delayed gadolinium enhancement.
Key takeaways
Systemic sclerosis can cause severe myocardial fibrosis even in resting patients. Cardiac MRI is a powerful tool to detect this, which is associated with a poorer long-term prognosis, particularly in patients with diffuse rather than limited systemic sclerosis.
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