A case report of acute heart failure and cardiogenic shock caused by catastrophic antiphospholipid syndrome and lupus myocarditis

Abstract Background Catastrophic antiphospholipid syndrome and lupus myocarditis are two rare life-threatening conditions. Case summary We present a case of a 47-year-old woman admitted in profound cardiogenic shock due to catastrophic antiphospholipid syndrome and lupus myocarditis requiring advanc...

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Bibliographic Details
Published in:European heart journal : case reports 2022-12, Vol.6 (12), p.ytac446
Main Authors: Lai, Ashton C, Feinman, Jason, Oates, Connor, Parikh, Aditya
Format: Article
Language:English
Subjects:
Antiphospholipid syndrome
Cardiac patients
Cardiogenic shock
Case Report
Development and progression
Heart failure
Myocarditis
Systemic lupus erythematosus
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Summary:Abstract Background Catastrophic antiphospholipid syndrome and lupus myocarditis are two rare life-threatening conditions. Case summary We present a case of a 47-year-old woman admitted in profound cardiogenic shock due to catastrophic antiphospholipid syndrome and lupus myocarditis requiring advanced heart failure therapies, including early mechanical circulatory support. She improved with steroids, immunoglobulins, mycophenolate, and eculizumab. Discussion This case highlights the importance of early identification of cardiogenic shock secondary to catastrophic antiphospholipid syndrome and lupus myocarditis, the arrhythmogenic complications of myocarditis, and the subsequent management of the disease progression with mechanical and medical support.
ISSN:2514-2119
2514-2119
DOI:10.1093/ehjcr/ytac446