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January 19, 2023HeliyonOpen Access

Takayasu arteritis presenting as acute myocardial infarction frequently involved the left main coronary artery (83.33%) and subclavian artery (83.33%), with emergency PCI showing positive effectiveness.

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Why the study?

The study was conducted to explore the clinical and vascular lesion characteristics of patients with Takayasu arteritis presenting initially with acute myocardial infarction, aiming to improve the diagnostic rate of Takayasu arteritis.

Design

Retrospective study

Key result

Takayasu arteritis presenting as acute myocardial infarction frequently involved the left main coronary artery (83.33%) and subclavian artery (83.33%), with emergency PCI showing positive effectiveness.

Authors

RLRuifang LiuFXFangxing XuYZYujie Zhou

Discussion

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Member takes

Overview

Alerts clinicians to Takayasu arteritis in atypical AMI; leaves open PCI effectiveness pending prospective validation.

Study Design

Type

Observational (n=6)

Structured PICO

P
Population
6 young patients (aged 16-25 years, 83.33% female) with Takayasu arteritis presenting initially as acute myocardial infarction.
O
Outcome
Clinical and vascular lesion characteristics

In young patients presenting with AMI and cardiogenic shock, Takayasu arteritis should be considered, as it often involves the left main coronary ostium and peripheral large arteries, and emergency PCI can be an effective stabilizing treatment.

Cite This Study

Liu et al. (2023) conducted an observational in Takayasu arteritis manifested firstly as acute myocardial infarction (n=6). Takayasu arteritis was evaluated on Vessel involvement. Takayasu arteritis presenting as acute myocardial infarction frequently involved the left main coronary artery (83.33%) and subclavian artery (83.33%), with emergency PCI showing positive effectiveness.

synapsesocial.com/papers/6aaa4f4dd8fbdcd7a1dfde74https://doi.org/10.1016/j.heliyon.2023.e13099
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