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Acute coronary syndrome leading to revision of a co-morbid condition in a young man with arthritis

Reumatologia, 2019, Vol.57 (4), p.243-248 [Peer Reviewed Journal]

2019. This work is published under http://creativecommons.org/licenses/by-nc-sa/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;Copyright: © 2019 Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie 2019 ;ISSN: 0034-6233 ;EISSN: 2084-9834 ;DOI: 10.5114/reum.2019.87621 ;PMID: 31548752

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Title:
Acute coronary syndrome leading to revision of a co-morbid condition in a young man with arthritis
Author: Smiyan, Svitlana ; Komorovsky, Roman ; Tomashchuk, Nazarij
Subjects: acute coronary syndrome ; Angina ; Angiography ; Arthritis ; Cardiovascular disease ; Cardiovascular diseases ; Case Report ; Case reports ; Chest ; Classification ; classification criteria ; Coronary artery ; Coronary vessels ; Diagnosis ; EKG ; Health risk assessment ; Heart diseases ; Myocardial infarction ; Pain ; Rheumatoid arthritis ; Risk factors ; Systemic lupus erythematosus
Is Part Of: Reumatologia, 2019, Vol.57 (4), p.243-248
Description: Although patients with rheumatoid arthritis (RA) may have an increased incidence of cardiovascular events, the development of coronary artery disease and of myocardial infarction at young age is rather uncommon. Herein, we report a case of a 26-year-old man without classical cardiovascular risk factors, but with a 2-year history of RA, who experienced recurrent episodes of angina-like chest pain. His electrocardiogram showed ST-elevation and T-wave inversion in anterior chest leads, and the patient was sent for coronary angiography, which revealed multivessel coronary artery disease. Subsequently, the patient underwent coronary artery bypass grafting. Closer analysis of the patient’s history and of the laboratory findings led to revision of the diagnosis of RA: the patient was found to meet the classification criteria for systemic lupus erythematosus. Pitfalls of the classification criteria and the impact of the revised diagnosis on the patient’s care are discussed.
Publisher: Warsaw: Termedia Publishing House
Language: English;Polish
Identifier: ISSN: 0034-6233
EISSN: 2084-9834
DOI: 10.5114/reum.2019.87621
PMID: 31548752
Source: Open Access: PubMed Central
AUTh Library subscriptions: ProQuest Central
DOAJ Directory of Open Access Journals

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Acute coronary syndrome leading to revision of a co-morbid condition in a young man with arthritis

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