What question did this study set out to answer?

Document a rare and life-threatening presentation of acute lupus myocarditis leading to severe heart failure and cardiogenic shock in a postpartum patient.

November 17, 2015American Journal of Therapeutics

Rare Presentation of Lupus Myocarditis With Acute Heart Failure—A Case Report

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Document a rare and life-threatening presentation of acute lupus myocarditis leading to severe heart failure and cardiogenic shock in a postpartum patient.
Clinical evaluation and diagnostic workup of a 38-year-old female presenting one week following a cesarean delivery for preeclampsia.
Initial management for presumed pneumonia transitioning to targeted therapy for acute pericarditis and lupus myocarditis with pulse-dose steroids and standard heart failure management.
Patient experienced acute respiratory failure and cardiogenic shock associated with left ventricular dysfunction and systemic lupus erythematosus.
Initiation of pulse-dose corticosteroids alongside heart failure therapy produced dramatic clinical improvement within days.

Structured PICO

Population

1 38-year-old postpartum female with acute lupus myocarditis presenting with left ventricular dysfunction, acute heart failure, pulmonary edema, and cardiogenic shock, who had a cesarean section a week prior for preeclampsia.

Intervention

Pulse dose steroids added to treatment for heart failure

Outcome

Clinical improvement

Pulse dose steroids combined with heart failure therapy resulted in rapid clinical improvement in a rare, life-threatening case of acute lupus myocarditis complicated by cardiogenic shock.

Discussion

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Implication

May support pulse steroids in acute lupus myocarditis shock; hypothesis-generating, requires prospective trials.

Cite This Study

Malhotra et al. (2015) studied this question.

synapsesocial.com/papers/6a85643102d378e0d14e246f https://doi.org/10.1097/mjt.0000000000000295

Topics

Heart failure HFrEF treatment Echocardiography Myocarditis

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Rare Presentation of Lupus Myocarditis With Acute Heart Failure—A Case Report

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Topics

Rare Presentation of Lupus Myocarditis With Acute Heart Failure—A Case Report

Key Points

Structured PICO

Discussion

Implication

Cite This Study

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