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Capilla-Geay E, Poyet R, Brocq FX, Pons F, Kerebel S, Foucault G, Jego C, Cellarier GR. [Acute anterior myocardial infarction as presenting feature of antiphospholipid syndrome related lupus arthritis]. Rev Med Interne 2015; 37:371-4. [PMID: 26363818 DOI: 10.1016/j.revmed.2015.08.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2014] [Revised: 08/11/2015] [Accepted: 08/17/2015] [Indexed: 10/23/2022]
Abstract
INTRODUCTION Antiphospholipid syndrome is an autoimmune disorder causing venous and arterial thrombosis. Acute coronary complications are rare but potentially dramatic. CASE REPORT We report a 39-year-old woman who presented with an acute anterior myocardial infarction after intravenous corticosteroids as part of the treatment of lupus arthritis and revealing antiphospholipid syndrome. Emergency coronary angiography was performed with drug-eluting stent angioplasty despite the need for anticoagulation and dual antiplatelet therapy. CONCLUSION Antiplatelet and anticoagulant therapy management is pivotal in patients with antiphospholipid syndrome and acute coronary syndrome to prevent thrombosis recurrence.
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Affiliation(s)
- E Capilla-Geay
- Service de cardiologie, hôpital Sainte-Anne, BCRM, boulevard Sainte-Anne, BP 600, 83600 Toulon cedex 9, France.
| | - R Poyet
- Service de cardiologie, hôpital Sainte-Anne, BCRM, boulevard Sainte-Anne, BP 600, 83600 Toulon cedex 9, France
| | - F X Brocq
- Centre d'expertise médicale du personnel navigant, hôpital Sainte-Anne, BCRM, boulevard Sainte-Anne, BP 600, 83600 Toulon cedex 9, France
| | - F Pons
- Service de cardiologie, hôpital Sainte-Anne, BCRM, boulevard Sainte-Anne, BP 600, 83600 Toulon cedex 9, France
| | - S Kerebel
- Service de cardiologie, hôpital Sainte-Anne, BCRM, boulevard Sainte-Anne, BP 600, 83600 Toulon cedex 9, France
| | - G Foucault
- Service de cardiologie, hôpital Sainte-Anne, BCRM, boulevard Sainte-Anne, BP 600, 83600 Toulon cedex 9, France
| | - C Jego
- Service de cardiologie, hôpital Sainte-Anne, BCRM, boulevard Sainte-Anne, BP 600, 83600 Toulon cedex 9, France
| | - G R Cellarier
- Service de cardiologie, hôpital Sainte-Anne, BCRM, boulevard Sainte-Anne, BP 600, 83600 Toulon cedex 9, France
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