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Systemic lupus erythematosus complicated by acute myocardial infarction in 1 case report

Center Hospital Authority) Keywords search acute systemic pen stuffed frog I Yichang 璺 hanging down profit _ I became ill and died on the report of patients with S F, 0 years old. Because of chest tightness, suffocation, chest muscle infarction, high lateral myocardial infarction. Anteroposterior chest film showed the main crushing pain like 3 days. Add half a day in July 1990 the heart artery, left a small amount of pleural effusion, left lung 23, admitted. 3 years ago, the left had intermittent fever and inflammation, double diaphragm increased. Chest pain, dry cough, the anti-inflammatory pain, Pioneer vancomycin, gentamicin after hospitalization; due to critical condition, the line ECG monitoring and hormone therapy for symptom relief. Since the elimination of intermittent home care services. Continuous intravenous nitroglycerin. 6 to 8 Zhi / min} myositis drugs to continue treatment. Nearly 3 days to a sudden dizziness,[link widoczny dla zalogowanych], chest injection of papaverine tq8hI isosorbide dinitrate 10mst3 times / day} heart, nausea, suffocation, nausea and chest crushing like pain, pain in a health setting 10m-g, 3 times / day {slow heart rate 0.1g, d times / day t given pethidine Health, nitroglycerin, and symptomatic treatment, but to prevent arrhythmia. And oral administration of metoprolol and chest pain did not alleviate the crushing kind, and to the left shoulder and symptomatic treatment. Chest pain disappeared. However, patients with sustained high fever t back radiation. Well accompanied by sweating. Diagnosed as acute L-T38.5 ℃ above, low back pain muscle pain. Dynamic ECG myocardial infarction received hospital. I review the observed changes in T have urinary RT: Protein thirty I, Charles pension: T36.5 ℃. P78 / min. BP16 / 1l100 positive antibodies against the school, ESR123mm / h; 10kPa. Development of nutrition in general. Mind clear. Mental difference. Was ISG28. os / L, ISA3.6g / L. IgM2. os / Ltcso. Acute pain sickly, constantly moaning. Breathing is still smooth. Chest 87g / L. Review rosette zinc sulfate turbidity test 62I profile symmetry. Apex beat was not obvious, the heart is not bound percussion. Degree l2.5u} LE cells found in blood,[link widoczny dla zalogowanych], heart rate 78 times for the system diagnosis / min, the whole law. A>. The rest found lupus erythematosus and acute myocardial infarction, positive signs plus indomethacin. 25mS. 3 times / day. Strong pick up 45m_g, once a day and other laboratory tests: SGPT31u, SC-OT349u, treatment, symptoms were relieved, normal liver function tests, urine LDH1043u, CPK64u. Hbl00g / L; erythrocyte 4.3 protein weakly positive, ECG improvement of myocardial injury prompted a × 10L2 / L. WBC 1.9 × 101o / L, N0.84. Hospital. PC1.97 ~ l0 the formation of single-phase curve T wave. II level leads down 0.05mV,[link widoczny dla zalogowanych], tips sinus rhythm, acute non-penetrating cardiac extensive anterior wall 92 Discuss: systemic lupus erythematosus involving the heart may account for 50. mainly myocarditis, pericarditis and endocarditis,[link widoczny dla zalogowanych], myocardial infarction are rare. myocardial infarction and coronary artery inflammation may occur due to coronary occlusion or thrombosis. (the date of closing pliers. 1992 a. at -26)
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