Acute left main coronary artery thrombosis as an initial presentation of systemic lupus erythematosus
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Left main coronary artery (LMCA) thrombosis is rare and the cause should be determined. A previously healthy young man presented with severe chest pain and dyspnea. The electrocardiogram showed typical ST-segment elevation myocardial infarction with clinical instability. Emergency coronary angiography revealed complete LMCA occlusion by thrombosis. After reperfusion, the patient was admitted to the cardiac care unit. He was diagnosed with hemolytic anemia and tested positive for antinuclear antibodies. Systemic lupus erythematosus (SLE) and LMCA disease due to systemic thrombosis were diagnosed. Steroids were started and the patient was discharged without complications. We report this rare case of LMCA thrombosis as an initial presentation of SLE.
Abstract
Left main coronary artery (LMCA) thrombosis is rare and the cause should be determined. A previously healthy young man presented with severe chest pain and dyspnea. The electrocardiogram showed typical ST-segment elevation myocardial infarction with clinical instability. Emergency coronary angiography revealed complete LMCA occlusion by thrombosis. After reperfusion, the patient was admitted to the cardiac care unit. He was diagnosed with hemolytic anemia and tested positive for antinuclear antibodies. Systemic lupus erythematosus (SLE) and LMCA disease due to systemic thrombosis were diagnosed. Steroids were started and the patient was discharged without complications. We report this rare case of LMCA thrombosis as an initial presentation of SLE.
참고문헌 (10)
- Klein AJ, "Acute left main coronary arterial thrombosis - a case series", J Invasive Cardiol, 20, pp.E243~E246 (2008)
- Jawaid A, "Cardiac tamponade as initial presentation in systemic lupus erythematosus", J Coll Physicians Surg Pak, 24(Suppl 2), pp.S138~S140 (2014)
- Manautou L, "Myopericarditis with predominantly right ventricular involvement with normal B-type natriuretic peptide and cardiac tamponade as the initial manifestation of systemic lupus erythematosus", Lupus, 23, pp.935~938 (2014)
- Kassaian SE, "Myocardial infarction secondary to premature coronary artery disease as the initial major manifestation of systemic lupus erythematosus", Cardiovasc J Afr, 19, pp.152~154 (2008)
- Korkmaz C, "Myocardial infarction in young patients (< or =35 years of age) with systemic lupus erythematosus: a case report and clinical analysis of the literature", Lupus, 16, pp.289~297 (2007)
- González-Pacheco H, "Acute left main coronary artery thrombosis as the first manifestation of systemic lupus erythematosus and catastrophic antiphospholipid syndrome", Am J Emerg Med, 32, pp.197.e3~197.e5 (2014)
- Chou CH, "A nationwide population-based retrospective cohort study:increased risk of acute myocardial infarction in systemic lupus erythematous patients", Int J Cardiol, 174, pp.751~753 (2014)
- Manzi S, "Age-specific incidence rates of myocardial infarction and angina in women with systemic lupus erythematosus: comparison with the Framingham Study", Am J Epidemiol, 145, pp.408~415 (1997)
- Reynaud Q, "Risk of venous and arterial thrombosis according to type of antiphospholipid antibodies in adults without systemic lupus erythematosus: a systematic review and meta-analysis", Autoimmun Rev, 13, pp.595~608 (2014)
- Koniari I, "Antiphospholipid syndrome;its implication in cardiovascular diseases: a review", J Cardiothorac Surg, 5, pp.101~ (2010)