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September 18, 2025ACR Open RheumatologyOpen Access

Limited Utility of Screening Electrocardiograms in Systemic Sclerosis: Data from the Canadian Scleroderma Research Group

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EKG abnormalities are not more common in systemic sclerosis patients compared to controls, suggesting limited diagnostic value.
Right atrial enlargement and left atrial enlargement were more prevalent in SSc, indicating potential right heart stress.
Two cardiologists conducted EKG analyses using a standardized method to compare results between groups.
Future research is needed to determine if EKG signs reflect underlying heart disease in systemic sclerosis.

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Analysis reveals EKG abnormalities are similar in systemic sclerosis and controls, suggesting EKGs may not be a reliable screening tool.

Wojcik et al. (2025) studied this question.

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