A sixty-two-year-old woman with chronic dermatomyositis (DM) receiving steroid monotherapy developed coronary artery stenosis. She had lung fibrosis and complained of dyspnea, but no ischemia was suggested by electrocardiogram. Arteriographic findings and clinical symptoms of coronary artery disease in DM have not been previously reported.
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References
1.
Bohan A., Peter JB, Bowman RL, et al: A computer-assisted analysis of 153 patients with polymyositis and dermatomyositis. Medicine56:255-286, 1977.
2.
Haupt HM, Hutchins GM: The heart and cardiac conduction system in polymyositis-dermatomyositis: A clinicopathologic study of 16 autopsied patients. Am J Cardiol50:998-1006, 1982.
3.
Denbow CE, Lie JT, Tancredi RG, et al: Cardiac involvement in polymyositis. A clinicopathologic study of 20 autopsied patients. Arthritis Rheum22:1088-1092, 1979.
4.
Benbassat J. , Gefel D., Larholt K., et al: Prognostic factors in polymyositis/dermatomyositis. A computer assisted analysis of ninety-two cases. Arthritis Rheum28:249-255, 1985.
5.
Gottdiener JS , Sherber HS, Hawley RJ, et al: Cardiac manifestations in polymyositis . Am J Cardiol41:1141-1149, 1978 .
6.
Selwyn AP, Braunwald E.: Ischemic heart disease. In: Harrison's Principles of Internal Medicine, ed. 12, ed. by Wilson JD , Braunwald E, Isselbacher KJ, et al: New York: McGraw-Hill , 1991, pp 964-971.
7.
Schweitzer P. : Initial electrocardiogram in patients with suspected ischemic chest pain. Chest98:1226-1232, 1990.
8.
Young MJ, McMahon LF, Stross JK: Prediction rules for patients with suspected myocardial infarction. Applying guidelines in community hospitals. Arch Intern Med147:1219-1222, 1987.
9.
Topol EJ, Leya F., Pinkerton CA, et al: A comparison of directional atherectomy with coronary angioplasty in patients with coronary artery disease. N Engl J Med329:221-227, 1993.
