title: [Acute anterior myocardial infarction as presenting feature of antiphospholipid syndrome related lupus arthritis].
abstract: BACKGROUND
  Antiphospholipid syndrome is an autoimmune disorder causing venous and arterial thrombosis. Acute coronary complications are rare but potentially dramatic.
  
  
  METHODS
  We report a 39-year-old woman who presented with an acute anterior myocardial infarction after intravenous corticosteroids as part of the treatment of lupus arthritis and revealing antiphospholipid syndrome. Emergency coronary angiography was performed with drug-eluting stent angioplasty despite the need for anticoagulation and dual antiplatelet therapy.
  
  
  CONCLUSIONS
  Antiplatelet and anticoagulant therapy management is pivotal in patients with antiphospholipid syndrome and acute coronary syndrome to prevent thrombosis recurrence.
authors.affiliation: Service de cardiologie, hôpital Sainte-Anne, BCRM, boulevard Sainte-Anne, BP 600, 83600 Toulon cedex 9, France. Electronic address: leocapilla@gmail.com.
authors.forename: E
authors.initials: E
authors.lastname: Capilla-Geay
authors.affiliation: Service de cardiologie, hôpital Sainte-Anne, BCRM, boulevard Sainte-Anne, BP 600, 83600 Toulon cedex 9, France.
authors.forename: R
authors.initials: R
authors.lastname: Poyet
authors.affiliation: Centre d'expertise médicale du personnel navigant, hôpital Sainte-Anne, BCRM, boulevard Sainte-Anne, BP 600, 83600 Toulon cedex 9, France.
authors.forename: F X
authors.initials: FX
authors.lastname: Brocq
authors.affiliation: Service de cardiologie, hôpital Sainte-Anne, BCRM, boulevard Sainte-Anne, BP 600, 83600 Toulon cedex 9, France.
authors.forename: F
authors.initials: F
authors.lastname: Pons
authors.affiliation: Service de cardiologie, hôpital Sainte-Anne, BCRM, boulevard Sainte-Anne, BP 600, 83600 Toulon cedex 9, France.
authors.forename: S
authors.initials: S
authors.lastname: Kerebel
authors.affiliation: Service de cardiologie, hôpital Sainte-Anne, BCRM, boulevard Sainte-Anne, BP 600, 83600 Toulon cedex 9, France.
authors.forename: G
authors.initials: G
authors.lastname: Foucault
authors.affiliation: Service de cardiologie, hôpital Sainte-Anne, BCRM, boulevard Sainte-Anne, BP 600, 83600 Toulon cedex 9, France.
authors.forename: C
authors.initials: C
authors.lastname: Jego
authors.affiliation: Service de cardiologie, hôpital Sainte-Anne, BCRM, boulevard Sainte-Anne, BP 600, 83600 Toulon cedex 9, France.
authors.forename: G R
authors.initials: GR
authors.lastname: Cellarier
mesh_terms: D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D016736:Antiphospholipid Syndrome / Q000175:diagnosis* / Q000209:etiology*; D001168:Arthritis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology*; D062645:Percutaneous Coronary Intervention
chemical_list: D000925:Anticoagulants
keywords: Acute coronary syndrome; Angioplastie coronaire percutanée; Antiagrégation plaquettaire; Anticoagulation; Antiphospholipid antibody syndrome; Antiplatelet therapy; Percutaneous coronary intervention; Syndrome coronaire aigu; Syndrome des antiphospholipides