Research Article

Clinical Outcomes of Myocarditis after Moderate-Dose Steroid Therapy in Systemic Sclerosis: A Pilot Study

Table 1

Overall baseline clinical characteristics.

Variable

Female (%)13 (65)
Age on enrollment (years);
BMI (kg/m2);
Duration of disease (years);
Diffuse cutaneous SSc (%)15 (75)
NYHA functional class II20 (100)
Serology
 Anti-topoisomerase antibody positive (%)19 (95)
 Anti-centromere antibody positive (%)1 (5)
Clinical characteristic
 Raynaud’s phenomenon (%)12 (60)
 Digital ulcer (%)3 (15)
 Edematous skin (%)11 (55)
 Tendon friction rub (%)12 (60)
 Hand deformity (%)14 (70)
 Esophageal involvement (%)4 (20)
 Stomach involvement (%)3 (15)
 Modified Rodnan skin score (points);
 Pulmonary involvement (%)12 (60)
 Pulmonary arterial hypertension (%)3 (15)
 Renal crisis (%)0
Laboratory result
 Anemia (%)9 (45)
 Hemoglobin (g/dL);
 Erythrocyte sedimentation rate > 25 mm/h (%)17 (85)
 C-reactive protein >5 mg/dl (%)13 (65)
 CK-MB >25 U/L (%)12 (60)
 Hs-cTnT >0.014 ng/ml (%)16 (80)
 Hs-cTnT;
 High NT-proBNP (%)4 (20)
 NT-proBNP;
 Estimated GFR (ml/min/1.73m2);
 Forced vital capacity (%predicted);
Radiographic result
 Cardiomegaly by chest radiography (%)5 (25)
 Ground glass opacification by HRCT chest (%)12 (60)
Echocardiography result
 LV ejection fraction (%)
 Impaired LV systolic function (LV ejection fraction <50%) (%)2 (10)
 Tricuspid velocity jet (m/sec)
 Right ventricular systolic pressure (mmHg);
 E’ velocity (cm/sec);
 Pericardial effusion (%)8 (40)
CMR finding
 LV ejection fraction (%);
 LV stroke volume (ml);
 LV cardiac output (L/min);
 RV ejection fraction (%);
 RV stroke volume (ml);
 RV cardiac output (L/min);
 Pericardial effusion (%)16 (80)

BMI denotes body mass index; CK-MB: creatine kinase-muscle/brain; CMR: cardiovascular magnetic resonance; GFR: glomerular filtration rate; hs-cTnT: high sensitivity of cardiac Troponin-T; HRCT: high-resolution computed tomography; LV: left ventricular; NT-proBNP: NT-prohormone-brain natriuretic peptide; NYHA: New York Heart Association; RV: right ventricular; SD: standard deviation; SSc: systemic sclerosis.