Spontaneous coronary artery dissection in a patient with systemic lupus erythematosis.

dc.contributor.authorSharma, Arvind K
dc.contributor.authorFarb, Andrew
dc.contributor.authorManiar, Parimal
dc.contributor.authorAjani, Andrew E
dc.contributor.authorCastagna, Marco
dc.contributor.authorVirmani, Renu
dc.contributor.authorSuddath, William
dc.contributor.authorLindsay, Joseph
dc.date.accessioned2016-10-25T22:54:10Z
dc.date.available2016-10-25T22:54:10Z
dc.date.issued2003-11
dc.description.abstractSpontaneous coronary artery dissection (SCAD) is an uncommon condition that may lead to sudden coronary artery occlusion resulting in a fatal acute myocardial infarction. It usually affects young to middle age women. A Medline search from 1966 to 2001 (using keywords: coronary artery dissection and systemic lupus erythematosis) revealed no prior reports of coronary dissection in a patient with systemic lupus erythematosis (SLE). We describe a 48-year old woman with SLE who sustained a fatal spontaneous left main coronary artery dissection. Coronary angiogram was notable for marked variability in the size of coronary lumen from systole to diastole. This case demonstrates the need to consider SCAD in the evaluation of chest pain and myocardial infarction in patients with SLE. Furthermore, in the absence of classical angiographic findings of coronary dissection, a detailed review of phasic changes in coronary lumen during a cardiac cycle could help reach this diagnosis.
dc.identifier.issn0017-8594
dc.identifier.pubmed14702766
dc.identifier.urihttp://hdl.handle.net/10524/53601
dc.language.isoeng
dc.subject.meshCarotid Artery, Internal, Dissection/etiology/radiography/therapy
dc.subject.meshCoronary Angiography
dc.subject.meshFatal Outcome
dc.subject.meshFemale
dc.subject.meshHeart Block/etiology
dc.subject.meshHumans
dc.subject.meshIntraoperative Complications
dc.subject.meshLupus Erythematosus, Systemic/complications
dc.subject.meshMiddle Aged
dc.subject.meshRisk Factors
dc.subject.meshStents
dc.titleSpontaneous coronary artery dissection in a patient with systemic lupus erythematosis.
dc.typeArticle
dc.type.dcmiText
prism.number11
prism.pagerange248-53
prism.publicationnameHawaii Medical Journal
prism.volume62

Files

Original bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
2003-11p248-253.pdf
Size:
548.81 KB
Format:
Adobe Portable Document Format