Severe Mitral Valve Regurgitation Secondary to Fulminant Myocarditis in the Setting of a Lupus Flare

Authors

Jesus Romero, Internal Medicine Department, RWJBarnabas Health/Trinitas Regional Medical Center, Elizabeth, New Jersey, USAFollow
Sherif Elkattawy, Cardiology Department, St. Joseph’s University Medical Center, Paterson, New Jersey, USA
Rachel Abboud, Cardiology Department, St. Joseph’s University Medical Center, Paterson, New Jersey, USA
Abdullah Masood, Internal Medicine Department, RWJBarnabas Health/Trinitas Regional Medical Center, Elizabeth, New Jersey, USA.
Qirat Jawed, Internal Medicine Department, RWJBarnabas Health/Trinitas Regional Medical Center, Elizabeth, New Jersey, USA
Ana Lucia Romero, Internal Medicine Department, RWJBarnabas Health/Trinitas Regional Medical Center, Elizabeth, New Jersey, USA
Hardik A. Fichadiya, Internal Medicine Department, RWJBarnabas Health/Trinitas Regional Medical Center, Elizabeth, New Jersey, USA
Abdel-Azez Abu-Samak, Internal Medicine Department, RWJBarnabas Health/Trinitas Regional Medical Center, Elizabeth, New Jersey, USA
Yezin F. Shamoon, Cardiology Department, St. Joseph’s University Medical Center, Paterson, New Jersey, USA.
Omar Elkattawy, Internal Medicine Department, Rutgers University-New Brunswick, Jersey City, New Jersey, USA
Meherwan Joshi, Internal Medicine Department, RWJBarnabas Health/Trinitas Regional Medical Center, Elizabeth, New Jersey, USA.
Fayez E. Shamoon, Cardiology Department, St. Joseph’s University Medical Center, Paterson, New Jersey, USA.

Abstract

Systemic Lupus Erythematosus represents a chronic autoimmune disorder characterized by multiorgan involvement. Lupus myocarditis is a rare presentation of one of the cardiac complications of lupus with an incidence of 3-9%. It usually presents with non-specific symptoms such as dyspnea, orthopnea, chest pain, pedal edema, fever, diaphoresis, paroxysmal nocturnal dyspnea, nausea, vomiting, or palpitations. Even though endomyocardial biopsy is considered the gold standard diagnostic approach, other non-invasive diagnostic alternatives including cardiac magnetic resonance (CMR) have been studied.

Therapeutic interventions may range from high-dose steroids, and IVIG, to the most advanced strategies such as mechanical circulatory support including VenoArterial Extracorporeal Membrane Oxygenation (VA-ECMO), and Impella, among others

Recommended Citation

Romero, Jesus; Elkattawy, Sherif; Abboud, Rachel; Masood, Abdullah; Jawed, Qirat; Romero, Ana Lucia; Fichadiya, Hardik A.; Abu-Samak, Abdel-Azez; Shamoon, Yezin F.; Elkattawy, Omar; Joshi, Meherwan; and Shamoon, Fayez E. (2024) "Severe Mitral Valve Regurgitation Secondary to Fulminant Myocarditis in the Setting of a Lupus Flare," Journal of Community Hospital Internal Medicine Perspectives: Vol. 14: Iss. 3, Article 16.
DOI: 10.55729/2000-9666.1336
Available at: https://scholarlycommons.gbmc.org/jchimp/vol14/iss3/16