A case of serpentine coronaries and acute myocardial infarction

Authors

  • Shivashankara TH Department of Cardiology, Sri Jayadeva Institute of Cardiovascular sciences and Research, Bangalore
  • Jayashree Kharge Department of Cardiology, Sri Jayadeva Institute of Cardiovascular sciences and Research, Bangalore
  • T. R. Raghu Department of Cardiology, Sri Jayadeva Institute of Cardiovascular sciences and Research, Bangalore
  • Cholenahally N. Manjunath Department of Cardiology, Sri Jayadeva Institute of Cardiovascular sciences and Research, Bangalore

DOI:

https://doi.org/10.18203/2320-6012.ijrms20150177

Keywords:

Tortuous coronaries, Systemic sclerosis, Microvascular dysfunction

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.

References

Denton CP, Black CM, Abraham DJ: Mechanisms and consequences of fibrosis in systemic sclerosis. Nat Clin Pract Rheumatol 2006, 2:134-44.

Derk CT, Jimenez SA. Acute myocardial infarction in systemic sclerosis patients: a case series. Clin Rheumatol. 2007 Jun;26(6):965-8.

Chia-Hung Chiang; Hsin-Bang Leu. Systemic Sclerosis and Risk of Myocardial Infarction: A Nationwide Study. Circulation. 2012;126:A18049.

Gene-Siew Ngian, Joanne Sahhar, Ian P Wicks, Sharon Van Doornum. Cardiovascular disease in systemic sclerosis - an emerging association? Arthritis Research & Therapy 2011;13:237.

Downloads

Published

2017-01-09

How to Cite

TH, S., Kharge, J., Raghu, T. R., & Manjunath, C. N. (2017). A case of serpentine coronaries and acute myocardial infarction. International Journal of Research in Medical Sciences, 3(6), 1511–1513. https://doi.org/10.18203/2320-6012.ijrms20150177

Issue

Section

Case Reports