Sudden Cardiac Arrest as the First Manifestation in a Patient with Catastrophic Antiphospholipid Syndrome
Autor: | Susumu Endo, Tatsuma Serge Yanagimoto, Hiroyuki Okura, Yuki Sahashi, Hiroaki Ushikoshi |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Adult
medicine.medical_specialty Resuscitation medicine.medical_treatment catastrophic antiphospholipid syndrome Case Report 030204 cardiovascular system & hematology Catastrophic antiphospholipid syndrome 03 medical and health sciences 0302 clinical medicine Extracorporeal Membrane Oxygenation Antiphospholipid syndrome Internal medicine Intensive care sudden cardiac arrest Internal Medicine medicine Extracorporeal membrane oxygenation Humans Medical history intensive care Lupus anticoagulant business.industry Sudden cardiac arrest General Medicine medicine.disease Antiphospholipid Syndrome Death Sudden Cardiac Treatment Outcome Pulse Therapy Drug Cardiology 030211 gastroenterology & hepatology Female medicine.symptom business |
Zdroj: | Internal Medicine |
ISSN: | 1349-7235 0918-2918 |
Popis: | 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. |
Databáze: | OpenAIRE |
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