Myocardial infarction during giant cell arteritis: A cohort study
نویسندگان
چکیده
Background Cardiovascular risk is increased in giant cell arteritis (GCA). We aimed to characterize myocardial infarction (MI) a GCA cohort, and compare the non-GCA population affected by MI. Methods In patients with biopsy-proven diagnosis of between 1 January 2001 31 December 2016 Côte D'Or (France), we identified MI crossing data from territorial registry (Observatoire des Infarctus de d'Or) database. Five controls (non-GCA + MI) were paired one case (GCA after matching for age, sex, cardiovascular factors prior disease. characterized as type (T1MI), resulting thrombus formation due atherothrombotic disease, or 2 (T2MI), supply/demand mismatch. GCA-related was defined occurring within 3 months flare (before after). Results Among 251 patients, 13 cases 65 controls. 6/13 cases, accounting 2.4% (6/251) our cohort. T2MI more frequently than GCA-unrelated (80% vs. 16.7%, p = 0.080), only triggering factor 75% T2MI. T1MI occurred who had received higher cumulative dose prednisone (p 0.032). not associated poorer one-year survival. Conclusions are mainly probably caused systemic inflammation rather coronaritis. predominantly coronary artery
منابع مشابه
Giant cell arteritis of coronary arteries causing myocardial infarction.
A case of giant cell arteritis involving the coronary arteries and causing thrombosis and myocardial infarction is described. IgM deposits in the affected arteries were demonstrated by an immunoperoxidase technique.
متن کاملGiant Cell Arteritis Presenting as Choroidal Infarction
Background. Giant cell arteritis (GCA) is a systemic granulomatous vasculitis that affects large- and medium-sized arteries of the head and neck. Ocular manifestations of GCA usually are anterior ischaemic optic neuropathy (AION) or retinal vessel occlusion. Case Report. We report an interesting case of a 70-year-old man who presented with sudden vision loss and choroidal infarction in his left...
متن کاملSystemic giant cell arteritis and cerebellar infarction.
BACKGROUND AND PURPOSE Systemic giant cell arteritis causing cerebellar infarction due to intracranial arteritis of the anterior inferior cerebellar artery has not been previously reported. We report this infrequent occurrence and discuss the differential diagnosis. CASE DESCRIPTION An 85-year-old woman was admitted with a 2-week history of episodic ataxia, unilateral headaches, and vomiting....
متن کاملMyocardial Infarction, Aortitis and Celiac Trunk Inflammation in Giant Cell Arteritis: A Case Report
Endocrinol Metab Int J 2017, 4(6): 00104 Abstract We report a rare case of a 62-year-old woman admitted for investigation of unexplained inflammatory syndrome. Her atypical clinical presentation included a lack of headache and systemic signs. Computed tomography scan showed thoracic, abdominal aortitis and celiac trunk inflammation. A temporal artery biopsy was consistent with giant cell arteri...
متن کاملGiant cell arteritis: a review.
Giant cell arteritis is the most common vasculitis in Caucasians. Acute visual loss in one or both eyes is by far the most feared and irreversible complication of giant cell arteritis. This article reviews recent guidelines on early recognition of systemic, cranial, and ophthalmic manifestations, and current management and diagnostic strategies and advances in imaging. We share our experience o...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: European Journal of Internal Medicine
سال: 2021
ISSN: ['1879-0828', '0953-6205']
DOI: https://doi.org/10.1016/j.ejim.2021.02.001