一名系统性红斑狼疮合并急性心肌梗死患者出现的不寻常冠状动脉扩张和狭窄。
Unusual coronary artery ectasia and stenosis in a patient with systemic lupus erythematosus and acute myocardial infarction.
作者信息
Chu P H, Ko Y S, Hsu T S, Luo S F, Chiang C W
机构信息
Department of Internal Medicine, Chang Gung University, Taipei, Taiwan, ROC.
出版信息
J Rheumatol. 1998 Apr;25(4):807-9.
PMID:9558191
Abstract
Acute myocardial infarction is an important and sometimes fatal complication of systemic lupus erythematosus (SLE). We describe a case of acute myocardial infarction in a 23-year-old woman with SLE. Angiography revealed coronary ectasia in the left main and proximal circumflex coronary arteries, as well as a stenotic lesion in the left anterior descending artery. The possible pathophysiology is discussed.
摘要
急性心肌梗死是系统性红斑狼疮（SLE）的一种重要且有时致命的并发症。我们描述了一例23岁患有SLE的女性发生急性心肌梗死的病例。血管造影显示左主干和左旋支冠状动脉扩张，以及左前降支动脉存在狭窄病变。文中讨论了可能的病理生理学机制。
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