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Review
. 2021 May;26(3):553-560.
doi: 10.1007/s10741-020-10054-w. Epub 2020 Nov 19.

The spectrum of lupus myocarditis: from asymptomatic forms to cardiogenic shock

Affiliations
Review

The spectrum of lupus myocarditis: from asymptomatic forms to cardiogenic shock

Maya Guglin et al. Heart Fail Rev. 2021 May.

Abstract

Lupus myocarditis is a serious, potentially deadly disease. When it presents as an acute or fulminant myocarditis in a patient without an established diagnosis of lupus, lupus as an etiology of the condition is not commonly suspected. Meanwhile, it has a distinct treatment which may be lifesaving. Review of the literature can shed more light as current management is mostly based on clinical experience and case reports rather than randomized control trials. In this review we are discussing this diagnostic entity, focusing on cardiogenic shock as a manifestation of lupus myocarditis, and discussing management including aggressive immunosuppression, mechanical circulatory support, and cardiac transplantation.

Keywords: Cardiogenic shock; Lupus myocarditis; Systemic lupus erythematosus.

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