01-02-2007 | imaging in cardiology
Cardiac tamponade as the initial manifestation of systemic lupus erythematosus in a young female patient
Gepubliceerd in: Netherlands Heart Journal | Uitgave 2/2007
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A 21-year-old woman with a medical history of epilepsy was admitted to our hospital because of progressive chest pain and dyspnoea for a few days. The chest pain fluctuated with breathing and was aggravated in a supine position. On physical examination a very dyspnoeic woman with a blood pressure of 105/65 mmHg and a heart rate of 140/min was seen. Pulsus paradoxus was absent and the jugular venous pressure was not increased. Besides sinus tachycardia, the electrocardiogram was normal.