Takatsu Y, Hattori R, Sakaguchi K, Yui Y, Kawai C
Chest. 1985 Jul;88(1):147-9. doi: 10.1378/chest.88.1.147.
A 19-year-old man with untreated systemic lupus erythematosus had an acute myocardial infarction. A coronary arteriogram five hours after the onset of symptoms revealed total occlusion of the left anterior descending coronary artery. Reperfusion was achieved by coronary thrombolytic therapy with urokinase. Four weeks later, a coronary arteriogram showed only minimal luminal irregularities at the original site of occlusion, where significant reduction in diameter could be induced by ergonovine maleate. This case suggests that coronary arterial involvement in systemic lupus erythematosus may be related to coronary arterial spasm.
一名19岁未经治疗的系统性红斑狼疮男性患者发生了急性心肌梗死。症状发作5小时后的冠状动脉造影显示左前降支冠状动脉完全闭塞。通过用尿激酶进行冠状动脉溶栓治疗实现了再灌注。四周后，冠状动脉造影显示在原来的闭塞部位只有轻微的管腔不规则，在该部位马来酸麦角新碱可诱发直径明显减小。该病例提示系统性红斑狼疮中的冠状动脉受累可能与冠状动脉痉挛有关。
