{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T05:02:50Z","timestamp":1790658170394,"version":"4.1.0"},"reference-count":7,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2018,6,28]],"date-time":"2018-06-28T00:00:00Z","timestamp":1530144000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Lupus"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:p>Systemic lupus erythematosus (SLE) can affect all heart structures including the conduction system, with either reversible or permanent derangement. However, only a few cases of adult SLE and complete atrioventricular (AV) block have been reported. We describe a young pregnant woman who initially presented with complete AV block on electrocardiography before the diagnosis of SLE. Syncope subsequently developed during the postpartum period due to frequent nonsustained polymorphic ventricular tachycardia, suggesting lupus myocarditis. The ventricular arrhythmia was successfully treated by intravenous corticosteroids, lidocaine and implantation of a permanent pacemaker. This may represent the first report of complete AV block with polymorphic ventricular tachycardia, which was identified before the other clinical features of SLE fully manifested. SLE should be considered if a patient presents with complete AV block without other clinical features. It may warn for early diagnosis and appropriate treatment of SLE including lupus-related heart disease.<\/jats:p>","DOI":"10.1177\/0961203318782425","type":"journal-article","created":{"date-parts":[[2018,6,29]],"date-time":"2018-06-29T02:18:47Z","timestamp":1530238727000},"page":"1729-1731","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Syncope caused by complete heart block and ventricular arrhythmia as early manifestation of systemic lupus erythematosus in a pregnant patient: a case report"],"prefix":"10.1177","volume":"27","author":[{"given":"C H","family":"Lo","sequence":"first","affiliation":[{"name":"Division of Cardiology, Department of Internal Medicine, Chung Shan Medical University Hospital, Taichung City, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J C C","family":"Wei","sequence":"additional","affiliation":[{"name":"Division of Allergy, Immunology and Rheumatology, Chung Shan Medical University Hospital; Institute of Medicine, Chung Shan Medical University; Graduate Institute of Integrated Medicine, China Medical University, Taichung, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C F","family":"Tsai","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Internal Medicine, Chung Shan Medical University Hospital, Taichung City, Taiwan"},{"name":"School of Medicine, Chung Shan Medical University, Taichung City, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L C","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Da Chien General Hospital, Miao Li City, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S W","family":"Huang","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Internal Medicine, Chung Shan Medical University Hospital, Taichung City, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4003-008X","authenticated-orcid":false,"given":"C H","family":"Su","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Internal Medicine, Chung Shan Medical University Hospital, Taichung City, Taiwan"},{"name":"School of Medicine, Chung Shan Medical University, Taichung City, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,6,28]]},"reference":[{"key":"bibr1-0961203318782425","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2013.05.004"},{"key":"bibr2-0961203318782425","first-page":"e5","volume":"967","author":"Makaryus JN","year":"2008","journal-title":"Am J Emerg Med"},{"key":"bibr3-0961203318782425","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2002.005322"},{"key":"bibr4-0961203318782425","first-page":"344","volume":"27","author":"Salinas CA","year":"2009","journal-title":"Clin Exp Rheumatol"},{"key":"bibr5-0961203318782425","doi-asserted-by":"publisher","DOI":"10.1191\/0961203305lu2155xx"},{"key":"bibr6-0961203318782425","doi-asserted-by":"publisher","DOI":"10.3346\/jkms.2009.24.1.176"},{"key":"bibr7-0961203318782425","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2016.01.021"}],"container-title":["Lupus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0961203318782425","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0961203318782425","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0961203318782425","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T23:19:50Z","timestamp":1777677590000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0961203318782425"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,28]]},"references-count":7,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2018,9]]}},"alternative-id":["10.1177\/0961203318782425"],"URL":"https:\/\/doi.org\/10.1177\/0961203318782425","relation":{},"ISSN":["0961-2033","1477-0962"],"issn-type":[{"value":"0961-2033","type":"print"},{"value":"1477-0962","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,6,28]]}}}