Pericarditis causing congestive heart failure as an initial manifestation of systemic lupus erythematosus

Inoue, Yasunori; Anzawa, Ryuko; Terao, Yoshio; Tsurusaki, Tetsuji; Matsuyama, Akimasa; Kunoh, Mamoru; Imamoto, Satoshi; Kasai, Tokuo; Satoh, Chikashi; Seki, Shuichi; Mochizuki, Seibu

doi:10.1016/j.ijcard.2007.04.005

Cited by 5 publications

(3 citation statements)

References 6 publications

(4 reference statements)

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“…While pericardial involvement is the most common echocardiographic lesion in systemic lupus erythematosus (SLE) and the most frequent cause of symptomatic cardiac disease, myocarditis remains fairly uncommon [ 3 ]. In clinical practice, myopericarditis is diagnosed by the presence of pericarditis with an elevation of cardiac markers or signs of myocardial inflammation [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

Myopericarditis and Pericardial Effusion as the Initial Presentation of Systemic Lupus Erythematosus

Bezwada

Quadri

Shaikh

et al. 2017

Case Reports in Medicine

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Myopericarditis with a pericardial effusion as the initial presenting feature of SLE is uncommon. We report an unusual case of myopericarditis and pericardial effusion with subsequent heart failure, as the initial manifestation of SLE. The timely recognition and early steroid administration are imperative in SLE-related myopericarditis with cardiomyopathy to prevent the mortality associated with this condition.

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Section: Discussionmentioning

confidence: 99%

Myopericarditis and Pericardial Effusion as the Initial Presentation of Systemic Lupus Erythematosus

Bezwada

Quadri

Shaikh

et al. 2017

Case Reports in Medicine

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“…High-dose glucocorticoid is recommended as initial therapy in addition to treatments for ventricular function (ACE inhibitors, B-blockers and diuretics) is recommended as initial therapy. [1][2][3][4][5][6] Conclusion HF due to myocarditis can be a rare initial presenting manifestation of SLE. Most reported cases are young patients less than 40year old.…”

Section: Discussionmentioning

confidence: 99%

Untitled

2016

MOJCR

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Clinical presentation 49year old male with no past medical history presented with insidious onset dyspnea and generalized weakness of 6weeks duration. Review of the systems were positive for exertional shortness of breath and leg swelling. Physical exam was remarkable for tachycardia, S3 gallop, bibasilar crackles, and 2+ pitting edema. On admission, he had runs of supraventricular tachycardia that reverted to sinus rhythm with adenosine. Laboratory evaluation was significant for pancytopenia, mild transaminitis (AST>ALT, normal ALP), elevated ESR and CRP. Bone marrow biopsy was normal. Serological tests indicated positive ANA, Anti-smooth muscle, SCL-70 and SSA antibodies. Bone marrow biopsy was normal. Echocardiogram showed ejection fraction of 35% without regional wall motion abnormalities or pericardial effusion. Cardiac catheterization showed normal coronaries. Since clinical and serological evidence were in accord with SLE, patient was given methyl prednisone 1g/day for 3days followed by tapering dose of oral prednisone in addition intravenous furosemide. Patient was discharged on prednisone 40mg and hydroxychloroquine 200mg. He was also started on metoprolol and enalapril for his HF. On follow up evaluation in clinic after 4weeks there was complete resolution of his symptoms with improvement in ejection fraction.

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“…Source: Reproduced with permission of Elsevier from Inoue et al[19]. Ao, aorta; LA, left atrium; LV, left ventricle.…”

mentioning

confidence: 99%

Heart

Maksimowicz-McKinnon¹,

Manzi²

2011

Systemic Lupus Erythematosus

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Pericarditis causing congestive heart failure as an initial manifestation of systemic lupus erythematosus

Cited by 5 publications

References 6 publications

Myopericarditis and Pericardial Effusion as the Initial Presentation of Systemic Lupus Erythematosus

Myopericarditis and Pericardial Effusion as the Initial Presentation of Systemic Lupus Erythematosus

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