Insuficiencia cardiovascular aguda en contexto autoinmune: Presentación clínica de un síndrome isquémico complicado en paciente con lupus eritematoso sistémico

Systemic lupus erythematosus (SLE) is a multisystem autoimmune disease that can severely affect the cardiovascular system, significantly increasing the risk of acute ischemic events. This case report describes the clinical course of a female patient with SLE who developed an acute myocardial infarction complicated by severe cardiogenic shock. Clinical, laboratory, and therapeutic findings are presented, along with the diagnostic challenges related to the overlap of SLE manifestations and classic acute coronary syndrome symptoms. The case highlights the importance of timely and comprehensive cardiovascular assessment in patients with autoimmune diseases, given the high risk of life-threatening hemodynamic complications. Furthermore, the need for a multidisciplinary approach in managing such patients is emphasized to improve outcomes and reduce morbidity and mortality rates.

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Publication Details

Journal
Revista Metropolitana de Ciencias Aplicadas
Published
2025-09-13
DOI
https://doi.org/10.62452/nkbzk711
Primary Topic
Systemic Lupus Erythematosus Research
Type
article
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article

Insuficiencia cardiovascular aguda en contexto autoinmune: Presentación clínica de un síndrome isquémico complicado en paciente con lupus eritematoso sistémico

Germán Adrián Espín García, Kerly Yuliana Apolo-Loayza, Mónica Gabriela Vásconez-Chérrez, Dayana Monserrat Proaño-Mayorga
Revista Metropolitana de Ciencias Aplicadas
Systemic Lupus Erythematosus Research
article

Insuficiencia cardiovascular aguda en contexto autoinmune: Presentación clínica de un síndrome isquémico complicado en paciente con lupus eritematoso sistémico

Germán Adrián Espín García, Kerly Yuliana Apolo-Loayza, Mónica Gabriela Vásconez-Chérrez, Dayana Monserrat Proaño-Mayorga
article en

Abstract

Systemic lupus erythematosus (SLE) is a multisystem autoimmune disease that can severely affect the cardiovascular system, significantly increasing the risk of acute ischemic events. This case report describes the clinical course of a female patient with SLE who developed an acute myocardial infarction complicated by severe cardiogenic shock. Clinical, laboratory, and therapeutic findings are presented, along with the diagnostic challenges related to the overlap of SLE manifestations and classic acute coronary syndrome symptoms. The case highlights the importance of timely and comprehensive cardiovascular assessment in patients with autoimmune diseases, given the high risk of life-threatening hemodynamic complications. Furthermore, the need for a multidisciplinary approach in managing such patients is emphasized to improve outcomes and reduce morbidity and mortality rates.

Revista Metropolitana de Ciencias AplicadasVol. 8(S2)
Pontificia Universidad Católica del Ecuador (EC), Universidad Regional Autónoma de Los Andes (EC), Universidad Técnica de Ambato (EC)
Openalex Percentile: Top 63%
Systemic Lupus Erythematosus Research
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