Compromiso cardíaco en polimiositis-dermatomiositis asociado a síndrome de Sjogren / Cardiac involvement in polymyositis-dermatomyositis associated with Sjogren`s sndrome
Rev. méd. Chile
; 122(5): 550-5, mayo 1994. tab, ilus
Article
en Es
| LILACS
| ID: lil-135464
Biblioteca responsable:
CL1.1
ABSTRACT
A 41 yers old woman with polymyositis-dermatomyositis with cardiac involvement is presented. The patient evolved with congestive heart failure, the electrocardiogram showed a left anterior hemiblock, lack of progression of R waves from V1 to V4 and unespecific ST and T alterations. Echocardiogram and cardiac catheterization showed global ventricular disfunction and pulmonary hypertension. An endomyocardial biopsy performed at the apex of the right ventricle showed mononuclear inflammatory infiltration myocardial fiber degeneration and fibrosis. Initially the patient responded well to diuretic vasodilator and steroid therapy. Posteriorly she developed an atrial flutter that reqquired electrical cardioversion and later died suddenly during the course of an acute pneumonia
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Colección:
01-internacional
Base de datos:
LILACS
Asunto principal:
Síndrome de Sjögren
/
Dermatomiositis
/
Insuficiencia Cardíaca
/
Miositis
Tipo de estudio:
Diagnostic_studies
/
Risk_factors_studies
Límite:
Adult
/
Female
/
Humans
Idioma:
Es
Revista:
Rev. méd. Chile
Asunto de la revista:
MEDICINA
Año:
1994
Tipo del documento:
Article