Isquemia recurrente posterior a infarto agudo de miocardio en el adulto mayor: Insólita presentación inicial de arteritis de Takayasu

Luis Murillo Pérez; Zoila Rodríguez Urteaga

doi:10.47487/apcyccv.v3i1.190

Authors

Luis Murillo Pérez Servicio de Cardiología Clinica, Instituto Nacional Cardiovascular - INCOR. Lima, Peru. https://orcid.org/0000-0002-1573-3261
Zoila Rodríguez Urteaga Servicio de Imagenes y apoyo al diagnostico, Instituto Nacional Cardiovascular - INCOR. Lima, Peru. https://orcid.org/0000-0002-6565-8917

DOI:

https://doi.org/10.47487/apcyccv.v3i1.190

Keywords:

Myocardial infarction, Takayasu arteritis, Coronary angiography, Myocardial ischemia

Abstract

We present the case of a 62-year-old male who presented with oppressive chest pain and was then diagnosed with acute myocardial infarction and received reperfusion treatment with primary angioplasty. In the evolution, he had a new episode of myocardial infarction, so complementary studies were carried out that led to the diagnosis of Takayasu’s arteritis. Unfortunately, he presented a torpid evolution despite the established management. The clinical presentation in patients older than 60 years is uncommon, so it is important to consider it within the differential diagnosis in patients with diffuse coronary disease and recurrent myocardial ischemia, due to the rapid progression and high morbidity and mortality despite successful revascularization strategies.

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