A case report of heart transplant for ischaemic cardiomyopathy from lupus coronary vasculitis.
Shuktika NandkeolyarHyungjin B KimTanya DoctorianLiset N StoletniyVaneet Kaur SandhuMicah YuCraig W ZuppanAnees RazzoukAnthony HilliardPurvi ParwaniPublished in: European heart journal. Case reports (2019)
This is the first reported case of OHT in the case of SLE coronary vasculitis. Chronic SLE coronary vasculitis is caused by lymphocyic infiltration leading to inflammation and fibrosis of the major epicardial coronary arteries but can be successfully managed with OHT when refractory to medical SLE and heart failure therapies. It can affect patients of all ages with SLE, emphasizing the importance of thorough history taking and clinical evaluation in young patients presenting with cardiac symptoms to establish an appropriate diagnosis and treatment plan.
Keyphrases
- systemic lupus erythematosus
- disease activity
- heart failure
- coronary artery disease
- coronary artery
- clinical evaluation
- ejection fraction
- aortic stenosis
- end stage renal disease
- rheumatoid arthritis
- left ventricular
- healthcare
- newly diagnosed
- chronic kidney disease
- oxidative stress
- atrial fibrillation
- patient reported outcomes
- sleep quality