title: Spontaneous coronary artery dissection as the first presentation of systemic lupus erythematosus.
abstract: A 33-year-old woman with no premorbidities presented to us with chest pain and worsening dyspnoea since 1 week. Systemic examination was suggestive of acute pulmonary oedema and preliminary investigations revealed evolved anterior wall myocardial infarction (MI). The patient was stabilised and taken up for angiography which revealed spontaneous coronary artery dissection (SCAD) of the left anterior descending (LAD) artery. She underwent percutaneous coronary intervention (PCI) for the same. Further investigation into the cause for the SCAD came strongly positive for systemic lupus erythematosus (SLE). She had no prior symptoms suggestive of SLE and the SCAD was its very first clinical manifestation.
authors: Department of Cardiology, Kasturba Medical College, Manipal, Karnataka, India.
authors: Sravan
authors: S
authors: Reddy
authors: Department of Internal Medicine, Kasturba Hospital, Manipal, Karnataka, India.
authors: Tejasvini
authors: T
authors: Vaid
authors: Department of Cardiology, KMC Manipal, Manipal University, Manipal, Karnataka, India.
authors: Naveen Chandra
authors: NC
authors: Ganiga Sanjeeva
authors: Department of Cardiology, Kasturba Medical College, Manipal, Karnataka, India.
authors: Ranjan K
authors: RK
authors: Shetty
mesh_terms: D000328:Adult; D000787:Angina Pectoris / Q000209:etiology; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D003937:Diagnosis, Differential; D004417:Dyspnea / Q000209:etiology; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D062645:Percutaneous Coronary Intervention; D014652:Vascular Diseases / Q000151:congenital* / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery