PMID: 6977269Feb 1, 1982Paper

Ischemic heart disease in systemic lupus erythematosus in the young patient: report of six cases

The American Journal of Cardiology
C J HomcyL M Miller

Abstract

To clarify the clinical spectrum of coronary arterial abnormalities in systemic lupus erythematosus, the data were reviewed on six patients who had a diagnosis of lupus at ages 15 to 29 years and who had ischemic heart disease before age 35. Two patients had coronary arteritis diagnosed on postmortem examination. In a third patient alterations in coronary arterial anatomy occurred with angiographic improvement temporally related to the initiation of steroid therapy. The other three patients had severe diffuse atherosclerotic coronary disease that was identified in two at postmortem examination. In the third patient the course of the disease strongly suggested coronary atherosclerosis, and eventually coronary bypass grafting was performed for relief of angina. In summary, clinically important extramural coronary arteritis and atherosclerosis both occur, although rarely, in young patients with lupus. Coronary artery disease may occur with or without coexisting active extracardiac lupus manifestations. Short-term steroid therapy and follow-up angiography for those with angina and in whom coronary arteritis is suspected warrant consideration. When stable coronary arterial anatomy is demonstrated on follow-up angiography, management...Continue Reading

References

Apr 1, 1975·Japanese Circulation Journal·T Okada, Y Shiokawa
May 1, 1976·Chest·R H HeibelJ A Shaver
Oct 1, 1972·The American Journal of the Medical Sciences·A D Marks
Feb 1, 1972·American Heart Journal·T A BonfiglioJ W Hagstrom
Dec 1, 1980·The American Journal of Medicine·A K BidaniE J Lewis
Nov 1, 1955·Circulation·M TAUBENHAUSA PICK
Jul 1, 1964·American Heart Journal·M R HEJTMANCIKF L JENNINGS
Jan 1, 1948·Annals of Internal Medicine·E M HUMPHREYS

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Citations

Sep 1, 1996·Catheterization and Cardiovascular Diagnosis·T P NobregaG S Reeder
Oct 24, 1998·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·T OkamuraE Koh
Dec 1, 1989·The Annals of Thoracic Surgery·R KoikeA Takeuchi
Oct 1, 1989·Atherosclerosis·M S JacobsonN T Ilowite
Feb 24, 1999·Current Problems in Cardiology·W C Roberts, S T High
Jul 1, 1999·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·M UraT Saito
Oct 30, 2003·Annals of the Rheumatic Diseases·E M C SellaA Barbieri
Dec 1, 1994·Postgraduate Medical Journal·S R MaxwellM J Kendall
Jun 1, 2005·Rheumatic Diseases Clinics of North America·Mandana NikpourDafna D Gladman
Sep 3, 2013·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Koichi MaedaYoshiki Sawa
Jul 21, 2004·Trends in Cardiovascular Medicine·Uli C BroedlDaniel J Rader
Sep 1, 1987·The American Journal of Medicine·W H EttingerW R Hazzard
Jan 1, 1987·The American Journal of Medicine
Feb 15, 1987·The American Journal of Cardiology·M J CunninghamF J Schoen
May 1, 1997·Rheumatic Diseases Clinics of North America·J A Fitch, B H Singsen
Jun 1, 1986·Angiology·A AnsariH D Bates
Nov 14, 1998·Lupus·E MatsuuraT Koike
May 1, 1983·Stroke; a Journal of Cerebral Circulation·G LandiL Candelise
Feb 12, 2009·The Journal of Rheumatology·Mansi A ShahEswar Krishnan
Apr 20, 2000·American Journal of Veterinary Research·S S KingE M Carnevale
Jan 11, 2000·The American Journal of Forensic Medicine and Pathology·H J Carson, B L Feickert
Jul 1, 1988·Arthritis and Rheumatism·N T IlowiteM S Jacobson
Oct 17, 2006·Journal of Clinical Rheumatology : Practical Reports on Rheumatic & Musculoskeletal Diseases·Joan M Von FeldtAmal Sawaires
Jan 1, 1994·Medicine, Science, and the Law·M A Elfawal
Jan 1, 1987·Acta Pathologica Japonica·S FukumotoK Tanaka
Jan 1, 1996·Vascular Medicine·W F Fearon, J P Cooke
Oct 1, 1986·Arthritis and Rheumatism·J L KaufmanJ Slade

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