[Unusual cause of acute coronary syndrome: Horton's disease]
K Rehal1, A Tritar1, F Tchatchum1
1GHPSO, service de cardiologie, site de Creil, boulevard Laennec, 60109 Creil cedex, France.
Insights
Acute coronary syndromes typically result from plaque rupture. This case highlights a rare instance where Horton's disease mimicked acute coronary syndrome, requiring specialized diagnostic and therapeutic approaches.
Area of Science:
- Cardiology
- Rheumatology
- Internal Medicine
Background:
- Acute coronary syndromes (ACS) are usually caused by plaque erosion or rupture leading to coronary artery thrombosis.
- Atypical mechanisms for ACS exist, necessitating tailored diagnostic and therapeutic strategies.
- Horton's disease, a form of vasculitis, can present with systemic symptoms that may obscure underlying conditions.
Abstract:
The pathophysiology of acute coronary syndromes is in most cases due to the erosion or rupture of a plaque with consequent thrombotic obstruction of coronary artery. In a few cases, the mechanism is different, this not modifying the initial management but imposing special techniques for diagnosis and therapeutic management. We report a clinical case of a patient supported for an acute coronary syndrome, in a context of impaired general condition and biological inflammatory syndrome revealing a Horton's disease.
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