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Revista Cubana de Medicina Militar
versão On-line ISSN 1561-3046
Resumo
VEGA CANDELARIO, Rodolfo e VEGA JIMENEZ, Junior. Cardiac tamponade as a debut form of systemic lupus erythematosus. Rev Cub Med Mil [online]. 2020, vol.49, n.3 Epub 25-Nov-2020. ISSN 1561-3046.
Introduction:
Systemic lupus erythematosus has multiple ways of presentation. Pericardium involvement is the most frequent cardiac manifestation. Cardiac tamponade is very rare, but it presents as a life-threatening clinical hemodynamic syndrome.
Objective:
To show a very rare form of presentation of systemic lupus erythematosus; cardiac tamponade.
Clinical case:
47-year-old white patient with anasarca, dyspnea, palpitations, polypnea, orthopnea, intercostal retraction, throbbing severe chest pain, bad general condition, anxiety, fever, arthralgia, arthritis, dermatological lesions, acrocyanosis, jugular engorgement and severe hypotension.
Comments:
Cardiac tamponade patient must be assumed by a multidisciplinary team that defines the precise diagnosis and behavior, especially when it comes to the debut of systemic lupus erythematosus, which with its autoimmune phenomena, affects all organs and systems.
Palavras-chave : cardiac tamponade; medical emergency; lupus erythematosus; multidisciplinary approach.