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Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing
Published on: December 11, 2017
Heart failure in systemic lupus erythematosus treated by cardiac resynchronization: a case report
Małgorzata Peregud-Pogorzelska1, Jarosław Kaźmierczak, Zdzisława Kornacewicz-Jach
1Department of Cardiology, Pomeranian Medical University, Szczecin, Poland.
Insights
Systemic lupus erythematosus can present with heart failure due to dilated cardiomyopathy. Cardiac resynchronization therapy improved this patient's quality of life and exercise capacity.
Area of Science:
- Cardiology
- Rheumatology
- Internal Medicine
Background:
- Systemic lupus erythematosus (SLE) is a chronic autoimmune disease with diverse clinical manifestations.
- Cardiac involvement in SLE, such as dilated cardiomyopathy (DCM) leading to heart failure, can be a rare initial presentation.
Observation:
- A female patient with SLE presented with dilated cardiomyopathy and progressive heart failure as her primary symptom.
- The patient's condition significantly impacted her quality of life, clinical status, and exercise tolerance.
Findings:
- Successful application of cardiac resynchronization therapy (CRT) was documented.
- CRT led to substantial improvements in the patient's quality of life, alleviation of clinical symptoms, and enhanced exercise tolerance.
Implications:
- This case highlights the importance of considering cardiac manifestations in SLE diagnosis.
- Cardiac resynchronization therapy is a viable and effective treatment option for SLE patients presenting with heart failure secondary to dilated cardiomyopathy.
- Early diagnosis and intervention can significantly improve outcomes for patients with lupus-related cardiac disease.
Abstract:
The presented case report describes a female patient suffering from systemic lupus erythematosus, in whom dilated cardiomyopathy with progressive heart failure was a very first symptom of the disease. The advanced invasive treatment method, cardiac resynchronization therapy, was successfully applied to improve the quality of life, clinical symptoms, and exercise tolerance.
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