Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Krall, M; Gollmer, J; Pollheimer, MJ; Reiter, C; Kolland, M; Kirsch, AH; Kronbichler, A; Eller, K; Rosenkranz, AR; Odler, B.
Myocardial infarction with non-obstructive coronary arteries in a patient double-seropositive for anti-glomerular basement membrane and anti-neutrophil cytoplasmic antibodies: A case report.
Front Cardiovasc Med. 2022; 9: 893742
Doi: 10.3389/fcvm.2022.893742
(- Case Report)
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- Führende Autor*innen der Med Uni Graz
- Krall Marcell
- Odler Balazs
- Co-Autor*innen der Med Uni Graz
- Eller Kathrin
- Gollmer Johannes
- Kirsch Alexander
- Kolland Michael
- Pollheimer Marion
- Reiter Clemens
- Rosenkranz Alexander
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- Abstract:
- We report a case of a patient double-seropositive for anti-glomerular basement membrane (anti-GBM) and anti-neutrophil cytoplasmic antibodies (ANCA) who reported retrosternal chest pain during a regular hemodialysis session associated with ST-segment depression in electrocardiogram and an increase of serum high-sensitivity troponin T. Urgent coronary angiography excluded obstructive coronary artery disease, suggesting the diagnosis of ischemia with non-obstructive coronary arteries. This case illustrates an unusual presentation of cardiovascular involvement in a patient with double-positive ANCA/anti-GBM disease, emphasizing the possible relevance of coronary microvascular dysfunction and the need for close cardiovascular follow-up in this patient population.
- Find related publications in this database (Keywords)
- MINOCA
- ANCA
- anti-GBM
- double-positive
- coronary
- therapy