Systemic Scleroderma with Complete Heart Block

On the day of presentation, she had variable heart rate fluctuating from 24-36bpm (Figure 2), her blood pressure was 110systolic over 60 diastolic, she had this complaint of syncopal attacks for past one month, but she ignored her symptoms and gradually the frequency of such symptoms of blackouts increased and started hampering her daily routine activities, for which she sought medical attention. Discussion SSc is a connective tissue disease of unknown etiology, characterized by fibrosis of multiple target organs, such as skin and internal organs (lung, gastrointestinal tract, kidney, and heart). The antibodies reacted only with the Purkinje cells, which might play a pathogenetic role in autoimmune diseases and atrioventricular heart block (12). Because it is a sporadic disease and there is the lack of large cohort study data, CHB in SSc is limited to case reports.