Compromiso cardíaco en polimiositis-dermatomiositis asociado a síndrome de Sjogren / Cardiac involvement in polymyositis-dermatomyositis associated with Sjogren`s sndrome
Rev. méd. Chile
;
122(5): 550-5, mayo 1994. tab, ilus
Artículo
en Español
| LILACS
| ID: lil-135464
ABSTRACT
A 41 yers old woman with polymyositis-dermatomyositis with cardiac involvement is presented. The patient evolved with congestive heart failure, the electrocardiogram showed a left anterior hemiblock, lack of progression of R waves from V1 to V4 and unespecific ST and T alterations. Echocardiogram and cardiac catheterization showed global ventricular disfunction and pulmonary hypertension. An endomyocardial biopsy performed at the apex of the right ventricle showed mononuclear inflammatory infiltration myocardial fiber degeneration and fibrosis. Initially the patient responded well to diuretic vasodilator and steroid therapy. Posteriorly she developed an atrial flutter that reqquired electrical cardioversion and later died suddenly during the course of an acute pneumonia
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Índice:
LILACS (Américas)
Asunto principal:
Síndrome de Sjögren
/
Dermatomiositis
/
Insuficiencia Cardíaca
/
Miositis
Tipo de estudio:
Estudio diagnóstico
/
Factores de riesgo
Límite:
Adulto
/
Femenino
/
Humanos
Idioma:
Español
Revista:
Rev. méd. Chile
Asunto de la revista:
Medicina
Año:
1994
Tipo del documento:
Artículo
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