TY - JOUR T1 - Optical Coherence Tomographic Imaging in a Patient with Granulomatosis with Polyangiitis Presenting with Acute Myocardial Infarction JF - The Journal of Rheumatology JO - J Rheumatol SP - 971 LP - 972 DO - 10.3899/jrheum.131237 VL - 41 IS - 5 AU - DEANNA Z.L. KHOO AU - EVELYN LEE AU - PAUL JAU LUENG ONG AU - HEE HWA HO Y1 - 2014/05/01 UR - http://www.jrheum.org/content/41/5/971.abstract N2 - Optical Coherence Tomography (OCT) is an imaging modality that produces high-resolution intracoronary images. We used it to see intraluminal thrombi, coronary intima, atherosclerotic plaque morphology, and stent strut coverage.A 59-year-old woman with a recent diagnosis of granulomatosis with polyangiitis (GPA; previously Wegener’s granulomatosis) presented with fever and chest pain. An electrocardiogram showed ST segment elevation in the anterior leads. Emergent coronary angiography demonstrated total occlusion (Figure 1A) of the mid-left anterior descending artery … ER -