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[Horton's disease presenting as a myocardial infarction]
M Zahraoui1, A Bennis, A Tahiri
1Centre de Cardiologie, CHU Ibn Rochd, Casablanca, Maroc.
Annales De Cardiologie Et D'Angeiologie
|January 31, 2003
Summary
Temporal arteritis, a condition often missed, can present with acute myocardial infarction in patients over 50. Early diagnosis via biopsy and prompt corticosteroid treatment are crucial for favorable outcomes.
Area of Science:
- Cardiovascular Medicine
- Rheumatology
- Internal Medicine
Context:
- A 60-year-old male presented with acute myocardial infarction.
- Patient history included headaches and temporal artery abnormalities.
- Inflammatory markers and coronary angiography suggested an underlying condition.
Purpose:
- To report a case of acute myocardial infarction secondary to temporal arteritis.
- To highlight the importance of considering temporal arteritis in older patients with arterial disease and inflammation.
- To emphasize the need for prompt corticosteroid therapy.
Summary:
- Diagnosis of temporal arteritis was confirmed by temporal artery biopsy.
- Corticosteroid therapy resulted in a satisfactory outcome at three months.
- Arterial disease in patients with temporal arteritis should be viewed as a manifestation of the condition.
Impact:
- Suggests systematic screening for temporal arteritis in patients over 50 with inflammatory syndrome and new arterial disease.
- Recommends intensifying corticosteroid therapy for any arterial disease occurring during treated temporal arteritis.