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Titolo:
Acute congestive heart failure associated with a limited form of systemic sclerosis and primary biliary cirrhosis
Autore:
Shinohara, T; Yanai, H; Hidaka, T; Suzuki, K; Ohsuzu, F;
Indirizzi:
Natl Def Med Coll, Tokorozawa, Saitama 3598513, Japan Natl Def Med Coll Tokorozawa Saitama Japan 3598513 Saitama 3598513, Japan
Titolo Testata:
INTERNAL MEDICINE
fascicolo: 1, volume: 40, anno: 2001,
pagine: 73 - 76
SICI:
0918-2918(200101)40:1<73:ACHFAW>2.0.ZU;2-W
Fonte:
ISI
Lingua:
ENG
Soggetto:
ANTICENTROMERE ANTIBODIES; CARDIAC DYSFUNCTION; SCLERODERMA; PERFUSION;
Keywords:
scleroderma heart disease; thallium perfusion defects; anticentromere antibody (ACA); anti-p25 doublet/triplet antibodies;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
14
Recensione:
Indirizzi per estratti:
Indirizzo: Shinohara, T Natl Def Med Coll, 3-2 Namiki, Tokorozawa, Saitama 3598513, Japan Natl Def Med Coll 3-2 Namiki Tokorozawa Saitama Japan 3598513
Citazione:
T. Shinohara et al., "Acute congestive heart failure associated with a limited form of systemic sclerosis and primary biliary cirrhosis", INTERN MED, 40(1), 2001, pp. 73-76

Abstract

This is the first case of a limited form of systemic sclerosis (ISSc) associated with acute congestive heart failure (CHF) and primary biliary cirrhosis (PBC). A 58-year-old woman with ISSc was admitted because of a sudden onset of CHF The intravenous administration of nitroglycerine and furosemideameliorated the symptoms of CHF within 24 hours. She had both anticentromere antibodies and anti-p25 doublet/triplet antibodies to intrahepatic microsomes. Thallium scintigraphy at rest demonstrated significant perfusion defects in both the anteroseptal and inferior myocardium. A coronary angiogramrevealed normal coronary arteries and no vasospasm was provoked by the intracoronary administration of acetylcholine. The present case indicates thatminute care should thus be taken for the prevention of acute CHF even in patients with a limited form of SSc when thallium perfusion defects are identified.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/01/21 alle ore 13:53:32