Journal of Lipid and Atherosclerosis  2013;2(2):91-95

doi:10.12997/jla.2013.2.2.91

Successful Percutaneous Coronary Intervention in a Young Male Systemic Lupus Erythematosus Patient with Acute Myocardial Infarction.

Zhe Hao PIAO 1 ; Myung Ho JEONG ; Hae Chang JEONG ; Shi Hyun RHEW ; Ki Hong LEE ; Keun Ho PARK ; Doo Sun SIM ; Young Joon HONG ; Ju Han KIM ; Youngkeun AHN ; Jeong Gwan CHO ; Jong Chun PARK

Affiliations

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Keywords

Percutaneous coronary intervention; Myocardial infarction; Systemic lupus erythematosus

Country

Republic of Korea

Language

English

Abstract

Acute myocardial infarction is a rare but potentially lethal complication of systemic lupus erythematosus. There are several proposed mechanisms for acute myocardial infarction in lupus patients: atherosclerosis and endothelial injury leading to plaque rupture, coronary vasculitis and inflammation of the vessel wall causing aneurismal dilatation or spasm, and acute thrombosis and embolism. We report a-37-year-old man with systemic lupus erythematosus who developed myocardial infarction twice. Potential mechanisms for acute myocardial infarction for this patient are discussed in this report.