Lilit Serobyan

Erebuni Medical Center, Armenia

Heart Failure And Comorbidities

Biography

Lilit Serobyan is a cardiologist at the Department of Cardiology and Pulmonology at Erebuni Medical Center in Yerevan, Armenia, and a lecturer in medical education. She brings extensive expertise in emergency medicine, interventional cardiology, and the management of patients with complex cardiovascular and metabolic comorbidities.

Serobyan has presented her research at international conferences, including the European Society of Cardiology Heart Failure Congress, and has published studies on heart failure therapies and vascular interventions. As an active member of the European Society of Cardiology and the European Association of Cardiovascular Imaging, she is committed to advancing integrated cardiovascular care, clinical research, and medical education.

Abstract

A 70-year-old male presented to the Emergency Department with acute onset paresthesia and paresis of the lower limbs over 8–10 hours. His medical history included ischemic heart disease, coronary angioplasty, implantable cardioverter-defibrillator (ICD) placement, heart failure, and type 2 diabetes mellitus. Initial differential diagnoses included Guillain-Barré syndrome, spinal cord insult, and paraneoplastic syndrome. However, MRI, CT angiography, and electroneuronography ruled out these conditions and instead confirmed diabetic neuromyopathy. Laboratory findings showed markedly elevated ProBNP (35,000 pg/ml), consistent with acute heart failure exacerbation, alongside hypoglycemia that worsened diabetic polyneuropathy. The patient’s condition stabilized with insulin therapy, Coenzyme Q10, and supportive management, leading to discharge and referral for rehabilitation. Follow-up after one month revealed improvement, with ProBNP reduced to 200 pg/ml and stable neurological status. This case is notable as the patient’s initial presentation lacked classic symptoms of heart failure, highlighting the need for clinicians to consider cardiac decompensation in atypical presentations. The combination of acute heart failure and hypoglycemic polyneuropathy underscores the importance of multidisciplinary evaluation and integrated management in patients with complex comorbidities.