An unusual but reversible cause of ventricular fibrillation
| Autor: | S Acton, Vassilios S. Vassiliou, D R Braganza, J N Porter, I. Merinopoulos |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
Chest Pain Myocarditis medicine.medical_treatment Heart Ventricles Electric Countershock Chest pain New diagnosis Ventricular Function Left Education Internal medicine medicine Secondary Prevention Humans Lupus Erythematosus Systemic Systemic lupus erythematosus medicine.diagnostic_test business.industry General Medicine Exanthema Middle Aged medicine.disease Implantable cardioverter-defibrillator Defibrillators Implantable Death Sudden Cardiac Dyspnea Ventricular fibrillation Ventricular Fibrillation Cardiology Macular Rash Female Renal biopsy medicine.symptom business |
| Zdroj: | The journal of the Royal College of Physicians of Edinburgh. 43(2) |
| ISSN: | 2042-8189 |
| Popis: | A 61-year-old woman was admitted with general malaise, chest pain and breathlessness. During her inpatient stay she sustained a ventricular fibrillation (VF) arrest which was successfully terminated with direct current cardioversion. Cardiac investigations revealed poor left ventricular systolic function but unequivocally normal coronary arteries. During the course of her admission a macular rash developed and following investigations including a renal biopsy, a new diagnosis of systemic lupus erythematosus (SLE) and related myocarditis was reached. First presentation of lupus with myocarditis and VF is uncommon, however reaching the correct diagnosis is important as due to the reversible nature of the condition and improvement in left ventricular systolic function with medical therapy, an implantable cardioverter defibrillator (ICD) might not be appropriate. Our case report demonstrates the importance of screening for reversible conditions when considering ICD therapy for secondary prevention of malignant arrhythmias. |
| Databáze: | OpenAIRE |
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