Background Systemic sclerosis is a systemic autoimmune disease characterized by vasculopathy (Raynaud phenomena), pulmonary arterial hypertension (PAH), and renal crisis), fibrosis of skin visceral organs (notably the gut, heart, lungs), musculoskeletal inflammation (joints, muscles, tendons) [1]. Inflammation drives atherosclerosis contributes to cardiovascular (CV) [2] . A few studies have ex...