Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSPSHAH, MeeraSHINJO, Samuel KatsuyukiDAY, JessicaGUPTA, Latika2023-10-302023-10-302023CLINICAL RHEUMATOLOGY, v.42, n.10, p.2557-2575, 20230770-3198https://observatorio.fm.usp.br/handle/OPI/55992Cardiovascular involvement in idiopathic inflammatory myopathies (IIM) is an understudied area which is gaining increasing recognition in recent times. Recent advances in imaging modalities and biomarkers have allowed the detection of subclinical cardiovascular manifestations in IIM. However, despite the availability of these tools, the diagnostic challenges and underestimated prevalence of cardiovascular involvement in these patients remain significant. Notably, cardiovascular involvement remains one of the leading causes of mortality in patients with IIM. In this narrative literature review, we outline the prevalence and characteristics of cardiovascular involvement in IIM. Additionally, we explore investigational modalities for early detection of cardiovascular involvement, as well as newer approaches in screening to facilitate timely management.engrestrictedAccessCardiacCardiovascularDermatomyositisHeartMyopathiesMyositisheart-rate-variabilityvenous thromboembolismcardiac involvementjuvenile dermatomyositisincreased riskautoimmune-diseasesmetabolic syndromerespiratory complicationshigh prevalenceadult patientsarticleCopyright SPRINGER LONDON LTD10.1007/s10067-023-06599-4Rheumatology1434-9949