I have Systemic Sclerosis (10 odd years). Had echo in Sept due to palpitations/pain in left side of chest. Showed mild RAE and Moderate LAE and my RV was upper limits of normal. Have been on amlodipine and quinapril for about 6-7 years as well as other meds. My blood tests came back fine except for my RDW which is elevated. My NT-ProBNP was only at 6 pmol/L so very low. The Cardiologist immediately ruled out coronary disease - he said I was too young (40yrs old).