Myocardial infarction with normal coronaries: An unexpected finding in a 13-year-old girl with systemic lupus erythematosus

R. Jasmin; C. T. Ng; S. Sockalingam; F. Yahya; T. E. Cheah; M. Athar Sadiq

doi:10.1177/0961203313503913

Myocardial infarction with normal coronaries: An unexpected finding in a 13-year-old girl with systemic lupus erythematosus

R. Jasmin^*, C. T. Ng, S. Sockalingam, F. Yahya, T. E. Cheah, M. Athar Sadiq

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

10 Citations (Scopus)

Abstract

We report a 13-year-old girl diagnosed with systemic lupus erythematosus (SLE) who presented with left-sided chest pain, with ECG changes and elevation troponins that were suggestive of an acute inferior wall myocardial infarction (MI). Her multi-slice computed tomography coronary angiogram and standard angiogram were normal. The cardiac magnetic resonance imaging revealed an area of infarcted myocardium that was in the right coronary artery territory. We believe her MI was most likely secondary to coronary vasospasm. MI is rare and coronary vasospasm is an uncommon cause of MI in children and adolescents with SLE.

Original language	English
Pages (from-to)	1518-1522
Number of pages	5
Journal	Lupus
Volume	22
Issue number	14
DOIs	https://doi.org/10.1177/0961203313503913
Publication status	Published - Dec 2013
Externally published	Yes

Keywords

Systemic lupus erythematosus
adolescent
chest pain
coronary vasospasm
myocardial infarction

ASJC Scopus subject areas

Rheumatology

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10.1177/0961203313503913

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title = "Myocardial infarction with normal coronaries: An unexpected finding in a 13-year-old girl with systemic lupus erythematosus",

abstract = "We report a 13-year-old girl diagnosed with systemic lupus erythematosus (SLE) who presented with left-sided chest pain, with ECG changes and elevation troponins that were suggestive of an acute inferior wall myocardial infarction (MI). Her multi-slice computed tomography coronary angiogram and standard angiogram were normal. The cardiac magnetic resonance imaging revealed an area of infarcted myocardium that was in the right coronary artery territory. We believe her MI was most likely secondary to coronary vasospasm. MI is rare and coronary vasospasm is an uncommon cause of MI in children and adolescents with SLE.",

keywords = "Systemic lupus erythematosus, adolescent, chest pain, coronary vasospasm, myocardial infarction",

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T2 - An unexpected finding in a 13-year-old girl with systemic lupus erythematosus

AU - Jasmin, R.

AU - Ng, C. T.

AU - Sockalingam, S.

AU - Yahya, F.

AU - Cheah, T. E.

AU - Sadiq, M. Athar

PY - 2013/12

Y1 - 2013/12

N2 - We report a 13-year-old girl diagnosed with systemic lupus erythematosus (SLE) who presented with left-sided chest pain, with ECG changes and elevation troponins that were suggestive of an acute inferior wall myocardial infarction (MI). Her multi-slice computed tomography coronary angiogram and standard angiogram were normal. The cardiac magnetic resonance imaging revealed an area of infarcted myocardium that was in the right coronary artery territory. We believe her MI was most likely secondary to coronary vasospasm. MI is rare and coronary vasospasm is an uncommon cause of MI in children and adolescents with SLE.

AB - We report a 13-year-old girl diagnosed with systemic lupus erythematosus (SLE) who presented with left-sided chest pain, with ECG changes and elevation troponins that were suggestive of an acute inferior wall myocardial infarction (MI). Her multi-slice computed tomography coronary angiogram and standard angiogram were normal. The cardiac magnetic resonance imaging revealed an area of infarcted myocardium that was in the right coronary artery territory. We believe her MI was most likely secondary to coronary vasospasm. MI is rare and coronary vasospasm is an uncommon cause of MI in children and adolescents with SLE.

KW - Systemic lupus erythematosus

KW - adolescent

KW - chest pain

KW - coronary vasospasm

KW - myocardial infarction

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Myocardial infarction with normal coronaries: An unexpected finding in a 13-year-old girl with systemic lupus erythematosus

Abstract

Keywords

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