Acute myocarditis and ventricular fibrillation as initial presentation of pediatric systemic lupus erythematosus
Journal
Rheumatology International
Journal Volume
33
Journal Issue
4
Pages
1093-1096
Date Issued
2013
Author(s)
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. ? Springer-Verlag 2011.
SDGs
Other Subjects
angiotensin receptor antagonist; antiarrhythmic agent; azathioprine; beta adrenergic receptor blocking agent; captopril; digoxin; diuretic agent; furosemide; hydroxychloroquine; methotrexate; methylprednisolone; prednisolone; arteriovenous shunt; article; case report; child; childhood disease; congestive heart failure; early diagnosis; extracorporeal oxygenation; female; heart failure; heart tamponade; heart ventricle fibrillation; heart ventricle tachycardia; human; immunosuppressive treatment; myocarditis; pericardial effusion; pericardiocentesis; priority journal; resuscitation; school child; shock; systemic lupus erythematosus; heart failure; heart ventricle fibrillation; myocarditis; systemic lupus erythematosus; Child; Female; Heart Failure; Humans; Lupus Erythematosus, Systemic; Myocarditis; Ventricular Fibrillation
Type
journal article