A case of serpentine coronaries and acute myocardial infarction.
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Date
2015-06
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Abstract
Microvascular disease is a prominent feature of systemic sclerosis (SSc) and leads to Raynaud’s phenomenon, pulmonary arterial hypertension, and scleroderma renal crisis. The presence of macrovascular disease is less well established, and, in particular, it is not known whether the prevalence of coronary heart disease in SSc is increased. We report a case of SSc who presented with evolved myocardial infarction whose angiogram revealed tortuous coronaries and peripheral arteries. Regional wall motion abnormality was not demonstrated on echocardiography. The microvascular dysfunction and vasospasm of coronaries were responsible for the myocardial infarction.
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Keywords
Tortuous coronaries, Systemic sclerosis, Microvascular dysfunction
Citation
Shivashankara T H, Kharge Jayashree, Raghu T R, Manjunath Cholenahally N. A case of serpentine coronaries and acute myocardial infarction. International Journal of Research in Medical Sciences. 2015 June; 3(6): 1511-1513.