Myocardial infarction due to coronary atherosclerosis in three young adults with systemic lupus erythematosus |
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Authors: | Jose Meller Cesar A Conde Ludwig M Deppisch Ephraim Donoso Simon Dack |
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Institution: | 1. From the Division of Cardiology, Department of Medicine, Mount Sinai School of Medicine of the City University of New York, New York, N. Y. USA;2. From the Department of Pathology, Mount Sinai School of Medicine of the City University of New York, New York, N. Y. USA |
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Abstract: | Three patients, 24, 24 and 25 years of age, with systemic lupus erythematosus had signs of myocardial infarction. Two had serial electrocardiographic changes indicative of infarction without any cardiac symptoms. The third patient had clinical evidence of an acute massive myocardial infarction, which was proved at autopsy to be due to coronary atherosclerosis. This case is presented in detail and the association between systemic lupus erythematosus and myocardial infarction is reviewed. It is postulated that the relation between lupus erythematosus and coronary atherosclerosis is more than coincidental. |
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Keywords: | Address for reprints: Simon Dack MD The Mount Sinai Hospital Division of Cardiology Department of Medicine 100th St and Fifth Ave New York N Y 10029 |
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