Spontaneous coronary artery dissection as the first presentation of systemic lupus erythematosus

Sravan Reddy, Tejasvini Vaid, Naveen Chandra Ganiga Sanjeeva, Ranjan K. Shetty

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A 33-year-old woman with no premorbidities presented to us with chest pain and worsening dyspnoea since 1 week. Systemic examination was suggestive of acute pulmonary oedema and preliminary investigations revealed evolved anterior wall myocardial infarction (MI). The patient was stabilised and taken up for angiography which revealed spontaneous coronary artery dissection (SCAD) of the left anterior descending (LAD) artery. She underwent percutaneous coronary intervention (PCI) for the same. Further investigation into the cause for the SCAD came strongly positive for systemic lupus erythematosus (SLE). She had no prior symptoms suggestive of SLE and the SCAD was its very first clinical manifestation.

Original languageEnglish
JournalBMJ Case Reports
Publication statusPublished - 01-01-2016
Externally publishedYes


All Science Journal Classification (ASJC) codes

  • Medicine(all)

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