Evidence map›Paper›PMID 42072821›Full record

ReviewDiagnostics (Basel, Switzerland)2026

Myocardial Involvement in Systemic Sclerosis: A State-of-the-Art Review of Multimodality Cardiovascular Imaging.

Mislav Radić, Tina Bečić, Petra Šimac Prižmić, Josipa Radić, Hana Đogaš, Ivona Matulić, Ivana Jukić, Jonatan Vuković, Damir Fabijanić

Abstract readReview
In one paragraph

Review in Diagnostics (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Mislav RadićDepartment of Internal Medicine, Division of Rheumatology, Allergology and Clinical Immunology, University Hospital of Split, 21000 Split, Croatia.ORCID 0000-0003-0350-6800
Tina BečićDepartment of Cardiovascular Diseases, University Hospital of Split, 21000 Split, Croatia.
Petra Šimac PrižmićDepartment of Internal Medicine, Division of Rheumatology, Allergology and Clinical Immunology, University Hospital of Split, 21000 Split, Croatia.ORCID 0000-0001-8529-2345
Josipa RadićDepartment of Internal Medicine, School of Medicine, University of Split, 21000 Split, Croatia.ORCID 0000-0003-2645-7597
Hana ĐogašDepartment of Neurology, University Hospital of Split, 21000 Split, Croatia.ORCID 0000-0002-2188-0006
Ivona MatulićPrivate Clinic Matulic, Osjecka Ulica 24a, 21000 Split, Croatia.
Ivana JukićDepartment of Internal Medicine, Division of Gastroenterology, University Hospital of Split, 21000 Split, Croatia.ORCID 0000-0002-4669-666X
Jonatan VukovićDepartment of Internal Medicine, School of Medicine, University of Split, 21000 Split, Croatia.ORCID 0000-0002-7878-7988
Damir FabijanićDepartment of Cardiovascular Diseases, University Hospital of Split, 21000 Split, Croatia.ORCID 0000-0002-4199-3905

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Systemic sclerosis (SSc) is a complex autoimmune connective tissue disease characterized by microvascular dysfunction, immune activation, and progressive fibrosis affecting multiple organs, including the heart. Myocardial involvement represents an important but frequently underrecognized manifestation of SSc and may develop even in the absence of overt clinical symptoms. Cardiac manifestations include ventricular dysfunction, arrhythmias, conduction abnormalities, and heart failure, contributing substantially to morbidity and mortality. The underlying pathophysiology involves coronary microvascular dysfunction, immune-mediated myocardial inflammation, and progressive myocardial fibrosis, which often precede clinically apparent cardiac disease. This review aims to summarize the current understanding of myocardial involvement in SSc and to provide a comprehensive overview of contemporary multimodality cardiovascular imaging techniques for its detection, characterization, and risk stratification. A comprehensive overview of the current literature was conducted focusing on established and emerging cardiovascular imaging modalities for the evaluation of myocardial involvement in SSc. Particular attention was given to echocardiography, cardiac magnetic resonance (CMR), nuclear imaging techniques including positron emission tomography (PET) and single-photon emission computed tomography (SPECT), and cardiac computed tomography (CT). Recent advances in imaging biomarkers, parametric mapping, myocardial strain analysis, and emerging technologies such as artificial intelligence (AI), radiomics, and molecular imaging were also considered. Multimodality cardiovascular imaging plays a central role in the early detection and comprehensive assessment of myocardial involvement in SSc. Advanced imaging techniques enable improved identification of subclinical myocardial dysfunction, microvascular impairment, inflammation, and fibrosis. An integrated imaging approach combining echocardiography, CMR, nuclear imaging, and CT may facilitate earlier diagnosis, enhance risk stratification, and ultimately improve cardiovascular outcomes in patients with SSc.

Indexed as

cardiac involvementcardiac magnetic resonancecardiovascular imagingechocardiographymicrovascular dysfunctionmultimodality imagingmyocardial fibrosismyocardial involvementPET imagingsystemic sclerosis

Identifiers

PMID42072821
PMCPMC13115435

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.