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Previous Volume 354:2194-2196 May 18, 2006 Number 20 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: A 65-year-old woman with diffuse scleroderma presented with increasing dyspnea on exertion, fatigue, and approximately a six-week history of palpitations. She had a history of scleroderma-related pulmonary fibrosis, which was clinically stable, but no ischemic heart disease or other cardiomyopathy. Physical examination revealed pedal edema and neck-vein distention, consistent with right heart failure. Electrocardiography showed frequent atrial and ventricular premature beats, right bundle-branch block, and left anterior fascicular block. There was evidence of biventricular diastolic dysfunction on two-dimensional echocardiography. Cardiac enzymes were within the normal range on repeated measurements.

On cardiac magnetic resonance imaging (MRI), the cine . . . [Full Text of this Article]

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