Case report: Severe sinus tachycardia as a leading manifestation of systemic lupus erythematosus flare

Anas A Ashour; Shafik Mansour; Mohamad Talal Basrak; Mohammad Altermanini; Bisher Sawaf; Mohamed A Atta; Mhd Baraa Habib

doi:10.3389/fmed.2023.1277285

Case report: Severe sinus tachycardia as a leading manifestation of systemic lupus erythematosus flare

Front Med (Lausanne). 2023 Oct 13:10:1277285. doi: 10.3389/fmed.2023.1277285. eCollection 2023.

Authors

Anas A Ashour¹, Shafik Mansour¹, Mohamad Talal Basrak², Mohammad Altermanini¹, Bisher Sawaf¹, Mohamed A Atta¹, Mhd Baraa Habib¹

Affiliations

¹ Internal Medicine Department, Hamad Medical Corporation, Doha, Qatar.
² Emergency Medicine Department, Hamad Medical Corporation, Doha, Qatar.

Abstract

Systemic lupus erythematosus (SLE) is known to have various cardiac manifestations, including arrhythmias and tachycardia. However, it is rare to encounter severe sinus tachycardia as a presenting feature in patients with SLE. Herein, we present a case of a 32-year-old Filipino female with a history of recurrent hospital admissions due to palpitations and uncontrolled tachycardia. Despite trying various symptomatic treatments, her symptoms remained persistent. Ultimately, the patient was diagnosed with SLE during her hospital stay. Eventually, her symptoms improved after initiating steroids. In conclusion, severe sinus tachycardia could be an unusual presentation of SLE that physicians should consider.

Keywords: SLE; arrhythmia; case report; flare; systemic lupus erythematosus; tachycardia.

Publication types

Case Reports

Grants and funding

The author(s) declare financial support was received for the research, authorship, and/or publication of this article. Open Access funding provided by the Qatar National Library.