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Acute Myocardial Infarction in a Young Male with Ankylosing Spondylitis – Case Presentation

Acute Myocardial Infarction in a Young Male with Ankylosing Spondylitis – Case Presentation AbstractCardiovascular risk scores are useful in early detecting and, most important, early correcting the cardiovascular risk factors in order to prevent the cardiovascular disease, but the most commonly used charts have essential limitations when applied to young adults.We present the case of a 39-year-old man, known with HLA-B27-positive ankylosing spondylitis for 15 years, treated only with nonsteroidal antiinflamatory drugs, without any traditional cardiovascular risk factors, who was diagnosed with severe coronary artery disease, sub-occlusion in the proximal and mid-segment of the left anterior descending artery, which required emergency percutaneous coronary intervention with drug-eluting stent implantation. In this case report we aim to highlight the necessity of considering other parameters such as C-reactive protein levels or carotid plaques when estimating the risk of developing a cardiovascular disease, especially in young adults diagnosed with chronic inflammatory disease. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png ARS Medica Tomitana de Gruyter

Acute Myocardial Infarction in a Young Male with Ankylosing Spondylitis – Case Presentation

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Publisher
de Gruyter
Copyright
© 2021 Ionescu Mihaela et al., published by Sciendo
ISSN
1841-4036
eISSN
1841-4036
DOI
10.2478/arsm-2020-0022
Publisher site
See Article on Publisher Site

Abstract

AbstractCardiovascular risk scores are useful in early detecting and, most important, early correcting the cardiovascular risk factors in order to prevent the cardiovascular disease, but the most commonly used charts have essential limitations when applied to young adults.We present the case of a 39-year-old man, known with HLA-B27-positive ankylosing spondylitis for 15 years, treated only with nonsteroidal antiinflamatory drugs, without any traditional cardiovascular risk factors, who was diagnosed with severe coronary artery disease, sub-occlusion in the proximal and mid-segment of the left anterior descending artery, which required emergency percutaneous coronary intervention with drug-eluting stent implantation. In this case report we aim to highlight the necessity of considering other parameters such as C-reactive protein levels or carotid plaques when estimating the risk of developing a cardiovascular disease, especially in young adults diagnosed with chronic inflammatory disease.

Journal

ARS Medica Tomitanade Gruyter

Published: Aug 1, 2020

Keywords: ankylosing spondylitis; myocardial infarction

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