title: Acute biventricular failure as a sequela of multiple autoimmune disorders.
abstract: In this case, uncharacteristic clinical and laboratory findings led to an unanticipated diagnosis for a 24-year-old woman admitted for new-onset heart failure with features suggesting cardiac tamponade. Concomitant diagnosis of progressive mixed connective tissue disease associated with severe hypothyroidism was made. Despite early recognition (based on clinical and pathologic features) and rapid management (with glucocorticoids, thyroxine, metoprolol, lisinopril, furosemide, and milrinone), she deteriorated and died within 4 weeks.
authors.affiliation: Department of Medicine, St Luke's Roosevelt Hospital Center, Columbia University College of Physicians and Surgeons, New York, NY 10025, USA. alexbriasoulis@gmail.com
authors.forename: Alexandros
authors.initials: A
authors.lastname: Briasoulis
authors.forename: Dan
authors.initials: D
authors.lastname: Halpern
authors.forename: Murtaza
authors.initials: M
authors.lastname: Bhatti
authors.forename: Greg
authors.initials: G
authors.lastname: Dodell
authors.forename: Eyal
authors.initials: E
authors.lastname: Herzog
mesh_terms: D001327:Autoimmune Diseases / Q000150:complications* / Q000175:diagnosis; D002305:Cardiac Tamponade / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D003131:Combined Modality Therapy; D018450:Disease Progression; D015150:Echocardiography, Doppler; D004638:Emergency Treatment; D017809:Fatal Outcome; D005260:Female; D006333:Heart Failure / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D007011:Hypoparathyroidism / Q000150:complications* / Q000175:diagnosis; D008947:Mixed Connective Tissue Disease / Q000150:complications* / Q000175:diagnosis; D012720:Severity of Illness Index; D055815:Young Adult