A Marked Response to Immunosuppressive Intervention for Abruptly Occurring Cardiac Complications in a Case of Juvenile Systemic Sclerosis Overlapped with Dermatomyositis

Figure 5

Time course of 12-lead electrocardiogram tracings; (1) at the time of admission; (2) at the onset of heart failure; and (3) during the recovery period (4 weeks after the onset of heart failure). A right axis shift, widespread low voltage, and left ventricular hypertrophy were observed at the onset of heart failure and subsequently resolved.