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Case Report

Open Access

Cardiogenic shock and complete heart block as a manifestation of fulminant Wegener’s granulomatosis


1Medical Intensive Care Unit, University Hospital Sveti Duh, Zagreb, Croatia

2Department for Cardiovascular Disease, University Hospital Sveti Duh, Zagreb, Croatia

DOI: 10.22514/SV101.062015.17 Vol.10,Issue S1,June 2015 pp.61-62

Published: 22 June 2015

*Corresponding Author(s): DINKO BEKIĆ E-mail:


Wegener’s vasculitis is an autoimmune disease affecting small and medium-sized blood vessels with a high mortality rate. It is a disease of usually subsidious course and nonspecific initial symptoms that are diagnostically misleading. Cardiac in-volvement is described most frequently in the form of supraventricular tachyarrhyt-mias, and rarely as a clinically significant myocardial infarction. This case demon-strates another facet of this disease pre-senting as full blown shock and respiratory insufficiency progressing to ARDS (acute respiratory distress syndrome) and multi-organ failure over the course of two weeks, with an unfortunately fatal outcome.


Wegener’s granulomatosis, vas-culitis, cardiogenic shock

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DINKO BEKIĆ,PETAR PEKIĆ,MAJA MAČKOVIĆ,NIKOLINA MARIĆ. Cardiogenic shock and complete heart block as a manifestation of fulminant Wegener’s granulomatosis. Signa Vitae. 2015. 10(S1);61-62.


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