Elsevier

American Heart Journal

Volume 83, Issue 2, February 1972, Pages 153-158
American Heart Journal

Clinical communication
Coronary arteritis, occlusion, and myocardial infarction due to lupus erythematosus

https://doi.org/10.1016/0002-8703(72)90133-0Get rights and content

Abstract

Four women with clinically documented lupus erythematosus and symptomatic coronary artery disease are presented. One, age 16, had severe coronary arteritis, thrombosis, and an acute myocardial infarct documented by postmortem examination. Three other women, ages 27, 33, and 38, had angina pectoris. The 33-year-old patient also had had a probable myocardial infarct, and has persistent, complete left bundle branch block. Coronary artery angiograms demonstrated severe focal coronary artery stenosis and multiple obstructions in all cases. Coronary arteritis may be a serious and sometimes fatal consequence of lupus erythematosus.

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