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Objectives: To evaluate clinical utility of perfusion and myocardial fatty acid metabolism mismatch in SSc patients without cardiac failure. Methods: All patients who visited St. Marianna University Hospital from 2009 to 2015 and performed cardiac scintigraphy using 99m Tl and 123 I-BMIPP were retrospectively evaluated. Patients who fulfilled American Collage of Rheumatology classification criteria of SSc and systemic lupus erythematosus (SLE) were selected. We subtracted %uptake of metabolismdoi:10.1136/annrheumdis-2017-eular.4829 fatcat:op3zklptezevrnfkcvzb6n3e2q