Autor: |
Marcell Krall, Johannes Gollmer, Marion J. Pollheimer, Clemens Reiter, Michael Kolland, Alexander H. Kirsch, Andreas Kronbichler, Kathrin Eller, Alexander R. Rosenkranz, Balazs Odler |
Jazyk: |
angličtina |
Rok vydání: |
2022 |
Předmět: |
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Zdroj: |
Frontiers in Cardiovascular Medicine, Vol 9 (2022) |
Druh dokumentu: |
article |
ISSN: |
2297-055X |
DOI: |
10.3389/fcvm.2022.893742 |
Popis: |
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. |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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