A case report of acute heart failure and cardiogenic shock caused by catastrophic antiphospholipid syndrome and lupus myocarditis

BACKGROUND: Catastrophic antiphospholipid syndrome and lupus myocarditis are two rare life-threatening conditions. CASE SUMMARY: We present a case of a 47-year-old woman admitted in profound cardiogenic shock due to catastrophic antiphospholipid syndrome and lupus myocarditis requiring advanced hear...

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Autores principales: Lai, Ashton C, Feinman, Jason, Oates, Connor, Parikh, Aditya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9728516/
https://www.ncbi.nlm.nih.gov/pubmed/36504504
http://dx.doi.org/10.1093/ehjcr/ytac446
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author Lai, Ashton C
Feinman, Jason
Oates, Connor
Parikh, Aditya
author_facet Lai, Ashton C
Feinman, Jason
Oates, Connor
Parikh, Aditya
author_sort Lai, Ashton C
collection PubMed
description BACKGROUND: Catastrophic antiphospholipid syndrome and lupus myocarditis are two rare life-threatening conditions. CASE SUMMARY: We present a case of a 47-year-old woman admitted in profound cardiogenic shock due to catastrophic antiphospholipid syndrome and lupus myocarditis requiring advanced heart failure therapies, including early mechanical circulatory support. She improved with steroids, immunoglobulins, mycophenolate, and eculizumab. DISCUSSION: This case highlights the importance of early identification of cardiogenic shock secondary to catastrophic antiphospholipid syndrome and lupus myocarditis, the arrhythmogenic complications of myocarditis, and the subsequent management of the disease progression with mechanical and medical support.
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spelling pubmed-97285162022-12-08 A case report of acute heart failure and cardiogenic shock caused by catastrophic antiphospholipid syndrome and lupus myocarditis Lai, Ashton C Feinman, Jason Oates, Connor Parikh, Aditya Eur Heart J Case Rep Case Report BACKGROUND: Catastrophic antiphospholipid syndrome and lupus myocarditis are two rare life-threatening conditions. CASE SUMMARY: We present a case of a 47-year-old woman admitted in profound cardiogenic shock due to catastrophic antiphospholipid syndrome and lupus myocarditis requiring advanced heart failure therapies, including early mechanical circulatory support. She improved with steroids, immunoglobulins, mycophenolate, and eculizumab. DISCUSSION: This case highlights the importance of early identification of cardiogenic shock secondary to catastrophic antiphospholipid syndrome and lupus myocarditis, the arrhythmogenic complications of myocarditis, and the subsequent management of the disease progression with mechanical and medical support. Oxford University Press 2022-11-22 /pmc/articles/PMC9728516/ /pubmed/36504504 http://dx.doi.org/10.1093/ehjcr/ytac446 Text en © The Author(s) 2022. Published by Oxford University Press on behalf of the European Society of Cardiology. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
Lai, Ashton C
Feinman, Jason
Oates, Connor
Parikh, Aditya
A case report of acute heart failure and cardiogenic shock caused by catastrophic antiphospholipid syndrome and lupus myocarditis
title A case report of acute heart failure and cardiogenic shock caused by catastrophic antiphospholipid syndrome and lupus myocarditis
title_full A case report of acute heart failure and cardiogenic shock caused by catastrophic antiphospholipid syndrome and lupus myocarditis
title_fullStr A case report of acute heart failure and cardiogenic shock caused by catastrophic antiphospholipid syndrome and lupus myocarditis
title_full_unstemmed A case report of acute heart failure and cardiogenic shock caused by catastrophic antiphospholipid syndrome and lupus myocarditis
title_short A case report of acute heart failure and cardiogenic shock caused by catastrophic antiphospholipid syndrome and lupus myocarditis
title_sort case report of acute heart failure and cardiogenic shock caused by catastrophic antiphospholipid syndrome and lupus myocarditis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9728516/
https://www.ncbi.nlm.nih.gov/pubmed/36504504
http://dx.doi.org/10.1093/ehjcr/ytac446
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