[Silent myocardial infarct as a main manifestation of systemic lupus erythematosus].
Myocardial infarction has rarely been reported in patients with systemic lupus erythematosus but may develop late in the disease usually as a result of severe and accelerated atherosclerosis or coronary arteritis. A 32-year-old man with untreated and unrecognized systemic lupus erythematosus, in the absence of conventional coronary risk factors (except family predisposition) and definite extracardiac manifestations of systemic lupus erythematosus had a silent myocardial infarction early in the course of the disease. A coronary arteriogram revealed multiple stenosis of the left anterior descending artery and critical stenosis of the right coronary artery. It is our belief that lupus vasculitis is a likely contributing factor in the development of obstructive coronary disease in this patient.
Scardi
S
S
Dipartimento di Cardiologia, Ospedale Maggiore e Cattinara, Trieste.
Volpe
C
C
Minutillo
S
S
D000328:Adult; D004562:Electrocardiography; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications / Q000175:diagnosis*; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology*
Infarto miocardico silente come principale manifestazione di un lupus eritematoso sistemico.