[Catastrophic antiphospholipid syndrome complicated by cardiogenic shock - a case report].

Abstract:

:A case of a 29-year-old woman 18 days after delivery with catastrophic antiphospholipid syndrome secondary (CAPS) due to undiagnosed systemic lupus erythematosus, leading to cardiogenic shock is reported. Laboratory evaluation revealed increased anticardiolipin antibodies, lupus anticoagulant, antinuclear antibody and thrombocytopenia. Left ventricular ejection fraction was 20%, neurologic deficit and acute renal failure were also present. Cardiac involvement is common in CAPS, but cardiomyopathy due to microvascular thrombosis is rare. CAPS should be considered as a cause of acute heart failure in a women with systemic lupus erythematosus. In the presented case early therapy with anticoagulants, steroids, immunoglobulins and plasmaferesis was beneficial.

journal_name

Kardiol Pol

journal_title

Kardiologia polska

authors

Zieba B,Wegrzyn A,Mital A,Szczepińska-Nowak M,Lewicki L,Chmielecki M,Puchalski W,Rynkiewicz A

subject

Has Abstract

pub_date

2009-07-01 00:00:00

pages

769-73

issue

7

eissn

0022-9032

issn

1897-4279

pii

12824

journal_volume

67

pub_type

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