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Myocardial infarction in a patient with systemic lupus erythematosus and antiphospholipid syndrome

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Author:
No author available
Journal Title:
CHINESE MEDICAL JOURNAL
Issue:
15
DOI:
10.3760/cma.j.issn.0366-6999.2011.15.026
Key Word:
lupus erythematosus,systemic;antiphospholipid syndrome;acute myocardial infarction;risk factors;antiplatelet;warfarin

Abstract: This case report we presented aims to report a-31-year-old man with systemic lupus erythematosus (SLE) and antiphospholipid syndrome (APS) who developed myocardial infarction (Ml) and also aims to discuss the possible mechanisms. The results showed that traditional risk factors alone do not cause coronary heart disease with SLE, and SLE-related factors influence the atherogenic process. We found that although SLE patients with acute Ml benefit from percutaneous coronary intervention (PCI) therapy, it is very important to choose the reasonable antithrombotic strategies in patients with SLE and APS undergoing PCI who require oral anticoagulant therapy.

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