Document Detail


An unusual but reversible cause of ventricular fibrillation.
MedLine Citation:
PMID:  23734352     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
A 61-year-old woman was admitted with general malaise, chest pain and breathlessness. During her inpatient stay she sustained a ventricular fibrillation (VF) arrest which was successfully terminated with direct current cardioversion. Cardiac investigations revealed poor left ventricular systolic function but unequivocally normal coronary arteries. During the course of her admission a macular rash developed and following investigations including a renal biopsy, a new diagnosis of systemic lupus erythematosus (SLE) and related myocarditis was reached. First presentation of lupus with myocarditis and VF is uncommon, however reaching the correct diagnosis is important as due to the reversible nature of the condition and improvement in left ventricular systolic function with medical therapy, an implantable cardioverter defibrillator (ICD) might not be appropriate. Our case report demonstrates the importance of screening for reversible conditions when considering ICD therapy for secondary prevention of malignant arrhythmias.
Authors:
I Merinopoulos; V Vassiliou; J N Porter; S Acton; D R Braganza
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The journal of the Royal College of Physicians of Edinburgh     Volume:  43     ISSN:  2042-8189     ISO Abbreviation:  J R Coll Physicians Edinb     Publication Date:  2013 Jun 
Date Detail:
Created Date:  2013-06-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101144324     Medline TA:  J R Coll Physicians Edinb     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  119-21     Citation Subset:  IM    
Affiliation:
I Merinopoulos, 9 Warren Chase, Ipswich IP5 2WZ, UK. i_merinopoulos@hotmail.com.
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