Podcast #178: Lupus Myocarditis

3c26d8f8-0b3c-4930-9051-44c6a0804477Run Time:  3 minutes

Author: Gretchen Hinson M.D.

Educational Pearls:

  • Case presentation: a 44 year-old male after a syncope was found to have a heart rate of 261 wide complex tachycardia and a SBP in the 80s for EMS in the field. The patient was given adenosine on arrival to the ED, but with no resolution of the tachycardia, but after electrocardioversion the patient’s heart rate converted to 100 but still in a wide complex tachycardia.
  • The missing piece of history for this patient is a diagnosis of lupus with previous pulmonary complications and systemic skin changes.
  • Lupus can also cause myocarditis and conduction abnormalities along with the more common skin changes and renal complications.

Link to Podcast: http://medicalminute.madewithopinion.com/lupus-myocarditis/

References: http://rheumatology.oxfordjournals.org/content/45/suppl_4/iv8.full

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