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

6 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

Fingerprint

Coronary Vasospasm
Systemic Lupus Erythematosus
Inferior Wall Myocardial Infarction
Myocardial Infarction
Angiography
Troponin
Chest Pain
Coronary Vessels
Myocardium
Electrocardiography
Tomography
Magnetic Resonance Imaging

Keywords

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

ASJC Scopus subject areas

  • Rheumatology

Cite this

Myocardial infarction with normal coronaries : An unexpected finding in a 13-year-old girl with systemic lupus erythematosus. / Jasmin, R.; Ng, C. T.; Sockalingam, S.; Yahya, F.; Cheah, T. E.; Sadiq, M. Athar.

In: Lupus, Vol. 22, No. 14, 12.2013, p. 1518-1522.

Research output: Contribution to journalArticle

Jasmin, R. ; Ng, C. T. ; Sockalingam, S. ; Yahya, F. ; Cheah, T. E. ; Sadiq, M. Athar. / Myocardial infarction with normal coronaries : An unexpected finding in a 13-year-old girl with systemic lupus erythematosus. In: Lupus. 2013 ; Vol. 22, No. 14. pp. 1518-1522.
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