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Case Report

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Cardiogenic shock and complete heart block as a manifestation of fulminant Wegener’s granulomatosis

  • DINKO BEKIĆ1
  • PETAR PEKIĆ2
  • MAJA MAČKOVIĆ1
  • NIKOLINA MARIĆ1

1Medical Intensive Care Unit, University Hospital Sveti Duh, Zagreb, Croatia

2Department for Cardiovascular Disease, University Hospital Sveti Duh, Zagreb, Croatia

DOI: 10.22514/SV101.062015.17 Vol.10,Issue S1,June 2015 pp.61-62

Published: 22 June 2015

*Corresponding Author(s): DINKO BEKIĆ E-mail: dinkobekic@gmail.com

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Abstract

Wegener’s vasculitis is an autoimmune disease affecting small and medium-sized blood vessels with a high mortality rate. It is a disease of usually subsidious course and nonspecific initial symptoms that are diagnostically misleading. Cardiac in-volvement is described most frequently in the form of supraventricular tachyarrhyt-mias, and rarely as a clinically significant myocardial infarction. This case demon-strates another facet of this disease pre-senting as full blown shock and respiratory insufficiency progressing to ARDS (acute respiratory distress syndrome) and multi-organ failure over the course of two weeks, with an unfortunately fatal outcome.

Key words

Wegener’s granulomatosis, vas-culitis, cardiogenic shock

Cite And Share

DINKO BEKIĆ,PETAR PEKIĆ,MAJA MAČKOVIĆ,NIKOLINA MARIĆ. Cardiogenic shock and complete heart block as a manifestation of fulminant Wegener’s granulomatosis. Signa Vitae. 2015. 10(S1);61-62.

References

1. Christopher L Tracy, MD, Patricia J Papadopoulos, MD.(Sep 25, 2014) Granulomatosis with Polyangiitis (Wegener Granulomato-sis). Retrieved from: http://emedicine.medscape.com/article/332622-overview

2. R Coll Physicians Edinb. 2014;44(4):283-5. doi: 10.4997/JRCPE.2014.406. Granulomatosis with polyangiitis and constrictive per-icarditis--a case report.

3. Horne AE1, Henriksen PA, Amft EN. Cardiac complications of wegener granulomatosis: A case report of complete heart block and review of the literature

4. Clinical manifestations and diagnosis of granulomatosis with polyangiitis and microscopic polyangiitis, Ronald J Falk, MD, Tal-madge E King, Jr, MD;In: UpToDate, Post TW (Ed), UpToDate, Waltham, MA.

5. Silent myocardial infarction in wegener’s granulomatosis t. m. lawson and b. d. williams Department of Rheumatology, University Hospital of Wales, Heath Park, Cardiff CF

6. Hoffman GS, Kerr GS, Leaitt RY et al. Wegener’s granulomatosis: An analysis of 158 patients. Ann Intern Med 1992;116(6):488-98

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