title: Myocardial ischaemia with a normal coronary angiogram due to the primary antiphospholipid syndrome.
abstract: In this case report, we describe a 33-year-old woman with a history of two unprovoked thrombo-embolic events presenting with acute myocardial ischaemia. She had a normal coronary angiogram (CAG). The diagnosis primary antiphospholipid syndrome (APS), an acquired hypercoagulability disorder, was established by the presence of antibodies directed against phospholipids. The primary APS should be considered as a cause of myocardial ischaemia in patients with a normal CAG and a history of unprovoked thrombo-embolic events.
authors.forename: P A M
authors.initials: PA
authors.lastname: de Vries
authors.forename: A
authors.initials: A
authors.lastname: van der Sluis
authors.forename: J C C
authors.initials: JC
authors.lastname: van der Horst
authors.forename: D J
authors.initials: DJ
authors.lastname: van Veldhuisen
mesh_terms: D000328:Adult; D016736:Antiphospholipid Syndrome / Q000150:complications*; D017023:Coronary Angiography; D005260:Female; D006801:Humans; D017202:Myocardial Ischemia / Q000000981:diagnostic imaging / Q000209:etiology*