Systemic lupus erythematosus with coronary vasculitis and massive myocardial infarction : a case report

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dc.contributor.authorPrzybojewski, J. Z.
dc.contributor.authorBotha, D.
dc.contributor.authorKlopper, J. F.
dc.date.accessioned2011-03-18T14:59:41Z
dc.date.available2011-03-18T14:59:41Z
dc.date.issued1986-07
dc.descriptionArticle
dc.descriptionThe original publication is available at http://www.samj.org.za
dc.description.abstractA 32-year-old white woman presented with angina pectoris and an acute myocardial infarction (MI) complicated by congestive cardiac failure. Other symptoms and results of immunological investigation were highly suggestive of systemic lupus erythematosus (SLE). Thallium-201 scintigraphy confirmed an extensive MI, as initially suspected from an ECG. Cardiac catheterization delineated a poorly contracting left ventricle secondary to MI. Selective coronary angiography showed features suspicious of coronary arteritis involving the left anterior descendingand left circumflex coronary arteries. Right ventricular endomyocardial biopsy failed to show any 'smallĀ·vessel disease', vasculitis or myocarditis. We suggest that the acute MJ was caused by coronary arteritis due to SLE. Overview of the literature indicates that coronary arteritis is not as rare a complicatiqp of SLE as previously believed; however, acute MHs most unusual.en_ZA
dc.description.versionPublishers' version
dc.format.extent4 p. : ill.
dc.identifier.citationPrzybojewski, J. Z., Botha, D., Klopper, J. F. 1986. Systemic lupus erythematosus with coronary vasculitis and massive myocardial infarction : a case report. South African medical journal, 7 June: 765-768.
dc.identifier.issn2078-5135 (online) 0256-9574 (print)
dc.identifier.urihttp://hdl.handle.net/10019.1/7981
dc.language.isoen_ZA
dc.publisherHealth and Medical Publishing Group (HMPG)
dc.rights.holderThe authors
dc.subjectMyocardial infarctionen_ZA
dc.subjectVasculitisen_ZA
dc.subjectLupus erythematosusen_ZA
dc.titleSystemic lupus erythematosus with coronary vasculitis and massive myocardial infarction : a case reporten_ZA
dc.typeArticle
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