1. Atteintes macrovasculaires de la sclérodermie : état de la question en 2019
- Author
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Brigitte Granel, M. Scafi, Mourad Boufi, Audrey Benyamine, J. Bertolino, Pascal Rossi, Nicolas Schleinitz, Gabrielle Sarlon, and K. Aissi
- Subjects
030203 arthritis & rheumatology ,medicine.medical_specialty ,business.industry ,Disease ,030204 cardiovascular system & hematology ,medicine.disease ,Pathophysiology ,Coronary Calcium Score ,03 medical and health sciences ,0302 clinical medicine ,Intima-media thickness ,Fibrosis ,Internal medicine ,cardiovascular system ,medicine ,Cardiology ,Endothelial dysfunction ,Cardiology and Cardiovascular Medicine ,business ,Microvessel ,Pulse wave velocity - Abstract
Systemic sclerosis (SSc) is a rare immune disease leading to fibrosis of the skin and internal organs. Microvasculopathy is a hallmark of SSc. However, some patients have severe macrovascular complications as affecting cerebral, cardiac or peripheral vessels. To date, macrovascular involvement in SSc remains a matter of debate. Many studies have shown an increased prevalence of macrovascular involvement in SSc in comparison with controlled subjects with similar cardiovascular risk factors. Various methods were used: ankle brachial pressure index, intima media thickness, imagery, coronary calcium score, pulse wave velocity, or flow mediated dilation. The pathophysiology of macrovascular involvement remains unknown and is probably multifactorial: accelerated atherosclerosis, endothelial dysfunction, or reflected wave of microvessel obliteration. The aim of this study was to perform a comprehensible review of the literature, through the study of different types of involved vessels. Results of the main studies are summarized in tables according to the method of investigation used.
- Published
- 2019