Heart attacks in systemic scleroderma: about a case in Conakry

Abstract

The objective of this study was to describe the cardiac manifestations during systemic scleroderma in Conakry and the therapeutic management. Observation: 49-year-old female patient, admitted to the Medico-Surgical Emergency Department of Donka Hospital and University for chest pain, dry cough, osteo-articular pain, physical asthenia; evolution of symptoms for two weeks, no history of known cardiovascular disease and no cardiovascular risk factor. On physical examination, we have: TA=130/80 mmHg, heart rate at 110 beats/minute, height 1.78 cm, weight 65 kg (BMI: 20.56 kg/m 2 ). There was also a decrease in heart sounds, no rhythm disorder or deformation of the chest, no scar on the thorax, temperature at 37.6°C, axial deformation of the fingers of both hands with hypochromia, hard, localized at the level of small joints. Conclusion: Systemic scleroderma is an autoimmune disease that is more common in women than in men. His diagnosis is clinical, immunological and completed by the classification criteria. The functional or vital prognosis can be put into play especially in case of heart attack as was the case in our patient. Corticotherapy opens a window of hope despite the fact that treatment is difficult.