Acute myocarditis and ventricular fibrillation as initial presentation of pediatric systemic lupus erythematosus.
Rheumatol Int
; 33(4): 1093-6, 2013 Apr.
Article
en En
| MEDLINE
| ID: mdl-22119942
ABSTRACT
Acute myocarditis and ventricular arrhythmia are rarely seen as the initial presentation of systemic lupus erythematosus (SLE) in children. We reported the case of a 12-year-old girl with congestive heart failure, acute myocarditis and pericardial effusion as a primary manifestation of SLE. Sudden cardiovascular collapse due to ventricular fibrillation (VF), ventricular tachycardia (VT) and cardiac tamponade occurred. After resuscitation and pericardiocentesis, frequent VF/VT refractory to anti-arrhythmic therapy was supported by venoarterial extracorporeal membrane oxygenation. Early diagnosis and a combination treatment for heart failure, arrhythmias and immunosuppression may result in a favorable outcome.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Fibrilación Ventricular
/
Insuficiencia Cardíaca
/
Lupus Eritematoso Sistémico
/
Miocarditis
Tipo de estudio:
Screening_studies
Límite:
Child
/
Female
/
Humans
Idioma:
En
Revista:
Rheumatol Int
Año:
2013
Tipo del documento:
Article
País de afiliación:
Taiwán