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

Research output: Contribution to journalArticle

8 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 languageEnglish
Pages (from-to)1518-1522
Number of pages5
JournalLupus
Volume22
Issue number14
DOIs
Publication statusPublished - Dec 2013

Keywords

  • adolescent
  • chest pain
  • coronary vasospasm
  • myocardial infarction
  • Systemic lupus erythematosus

ASJC Scopus subject areas

  • Rheumatology

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