Key result
A 33-year-old woman presenting with spontaneous coronary artery dissection was successfully treated with percutaneous coronary intervention and subsequently diagnosed with systemic lupus erythematosus as the underlying etiology.
Case Report (n=1)
Highlights that spontaneous coronary artery dissection can be the initial clinical presentation of systemic lupus erythematosus.
A 33-year-old woman with no premorbidities presented to us with chest pain and worsening dyspnoea since 1 week. Systemic examination was suggestive of acute pulmonary oedema and preliminary investigations revealed evolved anterior wall myocardial infarction (MI). The patient was stabilised and taken up for angiography which revealed spontaneous coronary artery dissection (SCAD) of the left anterior descending (LAD) artery. She underwent percutaneous coronary intervention (PCI) for the same. Further investigation into the cause for the SCAD came strongly positive for systemic lupus erythematosus (SLE). She had no prior symptoms suggestive of SLE and the SCAD was its very first clinical manifestation.
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Reddy et al. (2016) conducted a case report in Spontaneous coronary artery dissection (SCAD) and systemic lupus erythematosus (SLE) (n=1). Percutaneous coronary intervention (PCI) and medical management was evaluated on Clinical outcome and diagnosis. A 33-year-old woman presenting with spontaneous coronary artery dissection was successfully treated with percutaneous coronary intervention and subsequently diagnosed with systemic lupus erythematosus as the underlying etiology.
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