Myocardial infarction with normal coronaries: an unexpected finding in a 13-year-old girl with systemic lupus erythematosus-Reference-Cited by-同舟云学术

Myocardial infarction with normal coronaries: an unexpected finding in a 13-year-old girl with systemic lupus erythematosus

Published:2013-09-04 Issue:14 Volume:22 Page:1518-1522
ISSN:0961-2033
Container-title:Lupus
language:en
Short-container-title:Lupus

Author:

Jasmin R¹,Ng C-T¹,Sockalingam S¹,Yahya F¹,Cheah T-E¹,Sadiq M Athar²

Affiliation:

1. Division of Rheumatology, Department of Medicine, University of Malaya, Malaysia

2. Division of Cardiology, Department of Medicine, University of Malaya, Malaysia

Abstract

We report a 13-year-old girl diagnosed with systemic lupus erythematosus (SLE) who presented with left-sided chest pain, with ECG changes and elevation troponins that were suggestive of an acute inferior wall myocardial infarction (MI). Her multi-slice computed tomography coronary angiogram and standard angiogram were normal. The cardiac magnetic resonance imaging revealed an area of infarcted myocardium that was in the right coronary artery territory. We believe her MI was most likely secondary to coronary vasospasm. MI is rare and coronary vasospasm is an uncommon cause of MI in children and adolescents with SLE.

Publisher

SAGE Publications

Subject

Rheumatology

Link

http://journals.sagepub.com/doi/pdf/10.1177/0961203313503913

Reference32 articles.

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