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系统性红斑狼疮和灾难性抗磷脂综合征表现为心原性休克。

Systemic lupus and catastrophic antiphospholipid syndrome manifesting as cardiogenic shock.

机构信息

Department of Internal Medicine, University of Kentucky, Lexington, KY, USA.

Gill Heart Institute, University of Kentucky, Lexington, KY, USA.

出版信息

Lupus. 2019 Oct;28(11):1350-1353. doi: 10.1177/0961203319871099. Epub 2019 Aug 26.

DOI:10.1177/0961203319871099
PMID:31451079
Abstract

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.

摘要

在本病例系列中,我们介绍了两位在围产期出现心源性休克的年轻女性患者。两位患者均患有潜在的自身免疫性疾病,一位患有系统性红斑狼疮(SLE),另一位患有抗磷脂综合征(APS)。在这两种情况下,心源性休克都是其自身免疫状况的直接表现,通过及时诊断和治疗,两位患者均得以康复。本病例系列说明了早期识别心源性休克作为 SLE 和 APS 两种疾病罕见表现的重要性。

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J Clin Med. 2024 Aug 12;13(16):4732. doi: 10.3390/jcm13164732.
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Eur Heart J Case Rep. 2022 Nov 22;6(12):ytac446. doi: 10.1093/ehjcr/ytac446. eCollection 2022 Dec.
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The spectrum of lupus myocarditis: from asymptomatic forms to cardiogenic shock.
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Heart Fail Rev. 2022 Jan;27(1):93-101. doi: 10.1007/s10741-020-09990-4.