Early recognition and prompt management of cardiogenic shock as a rare manifestation of SLE and APS in the peripartum period can lead to successful recovery.
Hypothesis-generating for SLE/APS in peripartum shock workup; leaves open whether this rare presentation warrants routine screening.
In this case series we present two young female patients presenting in the peripartum period with cardiogenic shock. Both patients had underlying autoimmune diseases, one with systemic lupus erythematosus (SLE) and the other with antiphospholipid syndrome (APS). In both cases cardiogenic shock was a direct manifestation of their autoimmune condition, and with prompt diagnosis and management both patients were able to recover. This case series illustrates the importance of early recognition of cardiogenic shock as a rare manifestation both of SLE and APS.
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Schultz et al. (2019) studied this question.
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