Abstract:
:Systemic lupus erythematosus (SLE) can affect all heart structures including the conduction system, with either reversible or permanent derangement. However, only a few cases of adult SLE and complete atrioventricular (AV) block have been reported. We describe a young pregnant woman who initially presented with complete AV block on electrocardiography before the diagnosis of SLE. Syncope subsequently developed during the postpartum period due to frequent nonsustained polymorphic ventricular tachycardia, suggesting lupus myocarditis. The ventricular arrhythmia was successfully treated by intravenous corticosteroids, lidocaine and implantation of a permanent pacemaker. This may represent the first report of complete AV block with polymorphic ventricular tachycardia, which was identified before the other clinical features of SLE fully manifested. SLE should be considered if a patient presents with complete AV block without other clinical features. It may warn for early diagnosis and appropriate treatment of SLE including lupus-related heart disease.
journal_name
Lupusjournal_title
Lupusauthors
Lo CH,Wei JCC,Tsai CF,Li LC,Huang SW,Su CHdoi
10.1177/0961203318782425subject
Has Abstractpub_date
2018-09-01 00:00:00pages
1729-1731issue
10eissn
0961-2033issn
1477-0962journal_volume
27pub_type
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