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Acute myocardial dysfunction in lupus: outcomes in Asian Indians.

Aadhaar DhooriaAtit GawalkarKrishna SantoshAjay BahlAdarsh MbGsrsnk NaiduShefali SharmaAman SharmaSanjay JainArghya Chattopadhyay
Published in: Clinical rheumatology (2020)
In this small series of patients of SLE with acute myocardial dysfunction, we report a significant in-hospital mortality due to infections. Many of the patients who died had elevated procalcitonin at presentation. A diligent search for infection seems prudent in lupus patients who present with acute myocardial dysfunction. Key Points • In patients of SLE with acute myocardial dysfunction who were treated with immunosuppression, there was significant short-term mortality due to infections. • This mortality was associated with elevated procalcitonin at baseline and may suggest some of them had pre-existing hidden sepsis. • A prudent search for infections in these patients before immunosuppression may help to decrease short-term mortality.
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