Silent myocarditis in systemic sclerosis detected by cardiovascular magnetic resonance using Lake Louise criteria.

On the other hand, the diagnosis of asymptomatic myocarditis in SSc is extremely significant, because it demands prompt rheumatic treatment to avoid future irreversible cardiac lesions [ 7 ]; furthermore, although it is easy to diagnose the presence of clinically overt myocarditis, which usually presents with concurrent myositis in SSc [ 7 ], it remains rather difficult to achieve this target in asymptomatic cases [ 8 , 13 , 18 ].

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