Myocardial infarction in a young woman with isolated coronary arteritis

A 26-year-old black woman presented with a febrile illness and subsequently sustained an inferior myocardial infarction with chest pain. CPK-MB elevation and ECG changes. Left ventriculography revealed inferior wall hypokinesis, and coronary angiography demonstrated multiple aneurysms of the coronar...

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Bibliographic Details
Published inChest Vol. 82; no. 3; p. 378
Main Authors Pick, R A, Glover, M U, Vieweg, W V
Format Journal Article
LanguageEnglish
Published United States 01.09.1982
Subjects
Adult
Angiography
Cardiac Catheterization
Coronary Vessels
Electrocardiography
Female
Humans
Myocardial Infarction - etiology
Polyarteritis Nodosa - complications
Polyarteritis Nodosa - diagnosis
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Summary:A 26-year-old black woman presented with a febrile illness and subsequently sustained an inferior myocardial infarction with chest pain. CPK-MB elevation and ECG changes. Left ventriculography revealed inferior wall hypokinesis, and coronary angiography demonstrated multiple aneurysms of the coronary arteries. Findings on visceral angiography of multiple organs was normal. Various etiologies were considered; however, her clinical course was felt to be most consistent with periarteritis nodosa and steroid therapy was instituted.
ISSN:0012-3692
DOI:10.1378/chest.82.3.378