Seronegative immune-mediated necrotising myopathy complicated by fulminant myocarditis resulting in cardiogenic shock and cardiac arrest.
Darren TsangChaitanya Lakshmidhar MalladiKomal PatelPuneet BajajPublished in: BMJ case reports (2022)
A woman in her late 30s recently diagnosed with viral myopericarditis presented with 1 month of worsening fatigue, diffuse myalgias and chest pain radiating to her back. While undergoing work-up for chest wall myositis, she rapidly decompensated, developing heart failure and acute hypoxaemic respiratory failure. Her clinical course was complicated by cardiac arrest and severe cardiogenic shock requiring intra-aortic balloon pump support.
Keyphrases
- respiratory failure
- cardiac arrest
- heart failure
- cardiopulmonary resuscitation
- extracorporeal membrane oxygenation
- mechanical ventilation
- liver failure
- left ventricular
- sars cov
- aortic valve
- early onset
- late onset
- acute respiratory distress syndrome
- low grade
- atrial fibrillation
- intensive care unit
- sleep quality
- rheumatoid arthritis
- pulmonary arterial hypertension
- ejection fraction
- high grade