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

Medicine

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

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 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

Keywords

adolescent
chest pain
coronary vasospasm
myocardial infarction
Systemic lupus erythematosus

ASJC Scopus subject areas

Rheumatology

Access to Document

10.1177/0961203313503913

Fingerprint Dive into the research topics of 'Myocardial infarction with normal coronaries: An unexpected finding in a 13-year-old girl with systemic lupus erythematosus'. Together they form a unique fingerprint.

Cite this

@article{d2e8e2e466534efb9ab8b13488d109d8,

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

author = "R. Jasmin and Ng, {C. T.} and S. Sockalingam and F. Yahya and Cheah, {T. E.} and Sadiq, {M. Athar}",

year = "2013",

month = dec,

doi = "10.1177/0961203313503913",

language = "English",

volume = "22",

pages = "1518--1522",

journal = "Lupus",

issn = "0961-2033",

publisher = "SAGE Publications Ltd",

number = "14",

}

TY - JOUR

T1 - Myocardial infarction with normal coronaries

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 - adolescent

KW - chest pain

KW - coronary vasospasm

KW - myocardial infarction

KW - Systemic lupus erythematosus

UR - http://www.scopus.com/inward/record.url?scp=84887951689&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84887951689&partnerID=8YFLogxK

U2 - 10.1177/0961203313503913

DO - 10.1177/0961203313503913

M3 - Article

C2 - 24004952

AN - SCOPUS:84887951689

VL - 22

SP - 1518

EP - 1522

JO - Lupus

JF - Lupus

SN - 0961-2033

IS - 14

ER -