Cardiac tamponade as a debut form of systemic lupus erythematosus
Keywords:
cardiac tamponade, medical emergency, lupus erythematosus, multidisciplinary approach.Abstract
Introduction: Systemic lupus erythematosus has multiple ways of presentation. Pericardium involvement is the most frequent cardiac manifestation. Cardiac tamponade is very rare, but it presents as a life-threatening clinical hemodynamic syndrome.Objective: To show a very rare form of presentation of systemic lupus erythematosus; cardiac tamponade.
Clinical case: 47-year-old white patient with anasarca, dyspnea, palpitations, polypnea, orthopnea, intercostal retraction, throbbing severe chest pain, bad general condition, anxiety, fever, arthralgia, arthritis, dermatological lesions, acrocyanosis, jugular engorgement and severe hypotension.
Comments: Cardiac tamponade patient must be assumed by a multidisciplinary team that defines the precise diagnosis and behavior, especially when it comes to the debut of systemic lupus erythematosus, which with its autoimmune phenomena, affects all organs and systems.
Downloads
References
1. Guibert Toledano ZM, Reyes Llerena GA, Gil Armenteros R, Prada Hernández DM. Lupus y embarazo en adolescentes. En: Coto Hermosilla C. Reumatología pediátrica. La Habana: Editorial Ciencias Médicas; 2012. p. 230-234.
2. Reyes Llerena GA, Guibert Toledano M, Vasallo Prieto R, López Mantecón AM, López Aguilera IR, Delgado Ferreiro I. Estudio analítico y actualización temática de una serie de pacientes en Cuba con Lupus y embarazo. Rev. Cubana Obstetr Ginecol. 2009[acceso: 12/04/2015];35(4):58‐74. Disponible en: https://scielo.sld.cu/pdf/gin/v35n4/gin08409.pdf
3. Blanco Ramos M, Cañizares Carretero MA, García-Fontán EM, Rivo Vázquez JE. Derrame pericárdico como manifestación clínica única de lupus eritematoso sistémico. An Med Interna. Feb 2006[acceso: 24/05/2018];23(2):80-2. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-71992006000200007&lng=es
4. Rosales Uvera SG, Castellanos Caínas L, Galindo Uribe J, Colín Ramírez E, Delgado Hernández RD, Vázquez Lamadrid J, et al. Alteraciones cardiacas en pacientes con lupus eritematoso sistémico y sospecha clínica de miocarditis: diagnóstico por resonancia magnética cardiovascular. Revista Mejicana de Cardiología. 2011[acceso: 24/05/2018];22(4):167-74. Disponible en: https://www.medigraphic.com/pdfs/cardio/h-2011/h114b.pdf
5. Arostegui Lavilla J, García Vivar ML, Galíndez Agirregoikoa E, García Llorente JF, Aranburu Albizuri JM. Taponamiento cardiaco como manifestación inicial de lupus eritematoso sistémico. An Med Interna. 2001[acceso: 24/05/2018];18(8):451-2. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-71992001000800016&lng=es&nrm=iso&tlng=es
6. Bolaños Gómez CE. Taponamiento cardíaco. Rev Méd Cos Cen. 2016[acceso: 24/05/2018];73(618):165-72. Disponible en: https://www.medigraphic.com/pdfs/revmedcoscen/rmc-2016/rmc161zh.pdf
7. Pérez AF, Villa Gómez OA, Castro AM, Hernández SS. Taponamiento cardiaco como complicación de tuberculosis pericárdica. Reporte de un caso y revisión bibliográfica. Med Inter Méx. 2009[acceso: 24/05/2018]; 25:81-8. Disponible en: https://www.medigraphic.com/pdfs/medintmex/mim-2009/mim091l.pdf
8. Imazio M, Trinchero R. The spectrum of inflammatory myopericardial diseases. Int J Cardiol. 2010[acceso: 24/05/2018];144(1):134-8. Disponible en: https://www.internationaljournalofcardiology.com/article/S0167-5273(08)01569-6/pdf
9. Imazio M, Brucato A, Barbieri A, Ferroni F, Maestroni S, Ligabue G, et al. Good prognosis for pericarditis with and without myocardial involvement: results from a multicenter, prospective cohort study. Circulation. 2013[access: 24/05/2018];128(1):42-9. Disponible en: https://www.ahajournals.org/doi/full/10.1161/CIRCULATIONAHA.113.001531
10. Imazio M, Brucato A, Cemin R, Ferrua S, Maggiolini S, Beqaraj F, et al. A Randomized Trial of Colchicine for Acute Pericarditis. N Engl J Med. 2013[acceso: 24/05/2018];369:1522-8. Disponible en: https://www.nejm.org/doi/full/10.1056/nejmoa1208536
2. Reyes Llerena GA, Guibert Toledano M, Vasallo Prieto R, López Mantecón AM, López Aguilera IR, Delgado Ferreiro I. Estudio analítico y actualización temática de una serie de pacientes en Cuba con Lupus y embarazo. Rev. Cubana Obstetr Ginecol. 2009[acceso: 12/04/2015];35(4):58‐74. Disponible en: https://scielo.sld.cu/pdf/gin/v35n4/gin08409.pdf
3. Blanco Ramos M, Cañizares Carretero MA, García-Fontán EM, Rivo Vázquez JE. Derrame pericárdico como manifestación clínica única de lupus eritematoso sistémico. An Med Interna. Feb 2006[acceso: 24/05/2018];23(2):80-2. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-71992006000200007&lng=es
4. Rosales Uvera SG, Castellanos Caínas L, Galindo Uribe J, Colín Ramírez E, Delgado Hernández RD, Vázquez Lamadrid J, et al. Alteraciones cardiacas en pacientes con lupus eritematoso sistémico y sospecha clínica de miocarditis: diagnóstico por resonancia magnética cardiovascular. Revista Mejicana de Cardiología. 2011[acceso: 24/05/2018];22(4):167-74. Disponible en: https://www.medigraphic.com/pdfs/cardio/h-2011/h114b.pdf
5. Arostegui Lavilla J, García Vivar ML, Galíndez Agirregoikoa E, García Llorente JF, Aranburu Albizuri JM. Taponamiento cardiaco como manifestación inicial de lupus eritematoso sistémico. An Med Interna. 2001[acceso: 24/05/2018];18(8):451-2. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-71992001000800016&lng=es&nrm=iso&tlng=es
6. Bolaños Gómez CE. Taponamiento cardíaco. Rev Méd Cos Cen. 2016[acceso: 24/05/2018];73(618):165-72. Disponible en: https://www.medigraphic.com/pdfs/revmedcoscen/rmc-2016/rmc161zh.pdf
7. Pérez AF, Villa Gómez OA, Castro AM, Hernández SS. Taponamiento cardiaco como complicación de tuberculosis pericárdica. Reporte de un caso y revisión bibliográfica. Med Inter Méx. 2009[acceso: 24/05/2018]; 25:81-8. Disponible en: https://www.medigraphic.com/pdfs/medintmex/mim-2009/mim091l.pdf
8. Imazio M, Trinchero R. The spectrum of inflammatory myopericardial diseases. Int J Cardiol. 2010[acceso: 24/05/2018];144(1):134-8. Disponible en: https://www.internationaljournalofcardiology.com/article/S0167-5273(08)01569-6/pdf
9. Imazio M, Brucato A, Barbieri A, Ferroni F, Maestroni S, Ligabue G, et al. Good prognosis for pericarditis with and without myocardial involvement: results from a multicenter, prospective cohort study. Circulation. 2013[access: 24/05/2018];128(1):42-9. Disponible en: https://www.ahajournals.org/doi/full/10.1161/CIRCULATIONAHA.113.001531
10. Imazio M, Brucato A, Cemin R, Ferrua S, Maggiolini S, Beqaraj F, et al. A Randomized Trial of Colchicine for Acute Pericarditis. N Engl J Med. 2013[acceso: 24/05/2018];369:1522-8. Disponible en: https://www.nejm.org/doi/full/10.1056/nejmoa1208536
Published
2020-08-02
How to Cite
1.
Vega Candelario R, Vega Jiménez J. Cardiac tamponade as a debut form of systemic lupus erythematosus. Rev Cubana Med Milit [Internet]. 2020 Aug. 2 [cited 2025 Jun. 1];49(3):e0200331. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/331
Issue
Section
Case Presentation
License
Authors who have publications with this Journal accept the following terms:
- The authors will retain their copyright and guarantee the Journal the right of first publication of their work, which will simultaneously be subject to the Creative Commons Attribution License. The content presented here can be shared, copied and redistributed in any medium or format; Can be adapted, remixed, transformed or created from the material, using the following terms: Attribution (giving appropriate credit to the work, providing a link to the license, and indicating if changes have been made); non-commercial (you cannot use the material for commercial purposes) and share-alike (if you remix, transform or create new material from this work, you can distribute your contribution as long as you use the same license as the original work).
- The authors may adopt other non-exclusive license agreements for the distribution of the published version of the work (for example: depositing it in an institutional electronic archive or publishing it in a monographic volume) as long as the initial publication in this Journal is indicated.
- Authors are allowed and recommended to disseminate their work through the Internet (e.g., in institutional electronic archives or on their website) before and during the submission process, which can produce interesting exchanges and increase citations. of the published work.
