{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T22:40:46Z","timestamp":1790376046511,"version":"4.1.0"},"reference-count":11,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,9,21]]},"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:p>Previous reports have described non-ischaemic cardiomyopathy related to a variety of autoimmune diseases. However, very few case reports describe Sj\u00f6gren disease as a contributing factor to cardiomyopathy. We report the case of a 69-year-old woman with a history of Sj\u00f6gren disease who presented with cardiogenic shock. Laboratory testing and cardiac MRI revealing apical septal late gadolinium enhancement were consistent with an autoimmune aetiology. After ruling out ischaemic, infectious and other possible causes, the patient\u2019s clinical presentation was thought to be related to underlying Sj\u00f6gren disease. She was treated with intravenous steroids and evidence-based heart failure therapy, but she eventually died after having declined heart transplantation. Given the rarity of Sj\u00f6gren disease, no diagnostic criteria or standard treatment has been established for cardiomyopathy related to this disease. Diagnosis should be considered in patients who show evidence of autoimmune processes after other possible causes are ruled out.<\/jats:p>","DOI":"10.1136\/bcr-2021-244451","type":"journal-article","created":{"date-parts":[[2021,10,19]],"date-time":"2021-10-19T13:16:23Z","timestamp":1634649383000},"page":"e244451","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Sj\u00f6gren-related cardiomyopathy presenting with cardiogenic shock"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1708-5488","authenticated-orcid":false,"given":"Yahia","family":"Al Turk","sequence":"first","affiliation":[{"name":"Internal Medicine, Henry Ford Health System, Detroit, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandro","family":"Lemor","sequence":"additional","affiliation":[{"name":"Cardiovascular Medicine, Henry Ford Health System, Detroit, Michigan, USA"},{"name":"Centro de Investigaci\u00f3n de Epidemiolog\u00eda Cl\u00ednica y Medicina Basada en la Evidencia, Universidad de San Mart\u00edn de Porres Facultad de Medicina Humana, La Molina, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1357-8277","authenticated-orcid":false,"given":"Mohamed","family":"Fayed","sequence":"additional","affiliation":[{"name":"Anesthesia, Henry Ford Health System, Detroit, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henry","family":"Kim","sequence":"additional","affiliation":[{"name":"Cardiovascular Medicine, Henry Ford Health System, Detroit, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,10,19]]},"reference":[{"key":"2025082702132480000_14.10.e244451.1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2004.025676"},{"key":"2025082702132480000_14.10.e244451.2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2796.1996.418817000.x"},{"key":"2025082702132480000_14.10.e244451.3","doi-asserted-by":"publisher","DOI":"10.1136\/ard.55.7.450"},{"key":"2025082702132480000_14.10.e244451.4","doi-asserted-by":"publisher","DOI":"10.1136\/ard.61.3.232"},{"key":"2025082702132480000_14.10.e244451.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(99)02251-5"},{"key":"2025082702132480000_14.10.e244451.6","doi-asserted-by":"publisher","DOI":"10.1177\/096120339700600605"},{"key":"2025082702132480000_14.10.e244451.7","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1016\/S0300-8932(07)75039-X","article-title":"[Severe reversible cardiomyopathy in primary sj\u00f6gren's syndrome]","volume":"60","author":"Caballero-G\u00fceto","year":"2007","journal-title":"Rev Esp Cardiol"},{"key":"2025082702132480000_14.10.e244451.8","doi-asserted-by":"crossref","DOI":"10.1016\/S0735-1097(16)31026-9","article-title":"Acute heart failure due to anti-RO\/SSA and anti-LA\/SSB myocarditis in primary Sjogren syndrome","volume":"67","author":"Llanos-Chea","year":"2016","journal-title":"J Am Coll Cardiol"},{"key":"2025082702132480000_14.10.e244451.9","doi-asserted-by":"crossref","first-page":"378","DOI":"10.14740\/cr759w","article-title":"Takotsubo cardiomyopathy: is it due to adrenal crisis or sjogren's flare?","volume":"9","author":"Vindhyal","year":"2018","journal-title":"Cardiol Res"},{"key":"2025082702132480000_14.10.e244451.10","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1016\/j.acvd.2019.09.001","article-title":"Cardiac magnetic resonance imaging with late gadolinium enhancement in acute myocarditis: towards differentiation between immune-mediated and viral-related aetiologies","volume":"112","author":"Sebai","year":"2019","journal-title":"Arch Cardiovasc Dis"},{"key":"2025082702132480000_14.10.e244451.11","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-009-1454-y"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-244451","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T09:13:33Z","timestamp":1756286013000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-244451"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10]]},"references-count":11,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2021,10,19]]},"published-print":{"date-parts":[[2021,10]]}},"alternative-id":["10.1136\/bcr-2021-244451"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-244451","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10]]}}}