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Sudden Cardiac Arrest as the First Manifestation in a Patient with Catastrophic Antiphospholipid Syndrome
We herein report a 26-year-old woman with sudden cardiac arrest who had no remarkable medical history. While resuscitation was successfully performed with adrenalin administration and extracorporeal membrane oxygenation, the cause of cardiac arrest could not be determined for over two weeks. Given t...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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The Japanese Society of Internal Medicine
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7332628/ https://www.ncbi.nlm.nih.gov/pubmed/32161219 http://dx.doi.org/10.2169/internalmedicine.4123-19 |
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author | Sahashi, Yuki Serge Yanagimoto, Tatsuma Endo, Susumu Ushikoshi, Hiroaki Okura, Hiroyuki |
author_facet | Sahashi, Yuki Serge Yanagimoto, Tatsuma Endo, Susumu Ushikoshi, Hiroaki Okura, Hiroyuki |
author_sort | Sahashi, Yuki |
collection | PubMed |
description | We herein report a 26-year-old woman with sudden cardiac arrest who had no remarkable medical history. While resuscitation was successfully performed with adrenalin administration and extracorporeal membrane oxygenation, the cause of cardiac arrest could not be determined for over two weeks. Given the presence of autoimmune disease along with the findings of refractory renal insufficiency and thrombocytopenia, a kidney biopsy and blood examinations, including lupus anticoagulant testing, were performed, which proved the presence of antiphospholipid syndrome. The patient was successfully treated with steroid pulse therapy. This drastic case scenario highlighted the fact that autoimmune disease can be the cause of sudden cardiac arrest. |
format | Online Article Text |
id | pubmed-7332628 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | The Japanese Society of Internal Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-73326282020-08-03 Sudden Cardiac Arrest as the First Manifestation in a Patient with Catastrophic Antiphospholipid Syndrome Sahashi, Yuki Serge Yanagimoto, Tatsuma Endo, Susumu Ushikoshi, Hiroaki Okura, Hiroyuki Intern Med Case Report We herein report a 26-year-old woman with sudden cardiac arrest who had no remarkable medical history. While resuscitation was successfully performed with adrenalin administration and extracorporeal membrane oxygenation, the cause of cardiac arrest could not be determined for over two weeks. Given the presence of autoimmune disease along with the findings of refractory renal insufficiency and thrombocytopenia, a kidney biopsy and blood examinations, including lupus anticoagulant testing, were performed, which proved the presence of antiphospholipid syndrome. The patient was successfully treated with steroid pulse therapy. This drastic case scenario highlighted the fact that autoimmune disease can be the cause of sudden cardiac arrest. The Japanese Society of Internal Medicine 2020-03-12 2020-06-01 /pmc/articles/PMC7332628/ /pubmed/32161219 http://dx.doi.org/10.2169/internalmedicine.4123-19 Text en Copyright © 2020 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Sahashi, Yuki Serge Yanagimoto, Tatsuma Endo, Susumu Ushikoshi, Hiroaki Okura, Hiroyuki Sudden Cardiac Arrest as the First Manifestation in a Patient with Catastrophic Antiphospholipid Syndrome |
title | Sudden Cardiac Arrest as the First Manifestation in a Patient with Catastrophic Antiphospholipid Syndrome |
title_full | Sudden Cardiac Arrest as the First Manifestation in a Patient with Catastrophic Antiphospholipid Syndrome |
title_fullStr | Sudden Cardiac Arrest as the First Manifestation in a Patient with Catastrophic Antiphospholipid Syndrome |
title_full_unstemmed | Sudden Cardiac Arrest as the First Manifestation in a Patient with Catastrophic Antiphospholipid Syndrome |
title_short | Sudden Cardiac Arrest as the First Manifestation in a Patient with Catastrophic Antiphospholipid Syndrome |
title_sort | sudden cardiac arrest as the first manifestation in a patient with catastrophic antiphospholipid syndrome |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7332628/ https://www.ncbi.nlm.nih.gov/pubmed/32161219 http://dx.doi.org/10.2169/internalmedicine.4123-19 |
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