Is it cardiac involvement mimicking acute myocardial infarction in idiopathic inflammatory myopathy?

Xiao,Yizhi; Luo,Hui; Liu,Shiqing; Duan,Liping; You,Yunhui; Zhao,Hongjun; Zuo,Xiaoxia

doi:10.3892/etm.2017.4447

Is it cardiac involvement mimicking acute myocardial infarction in idiopathic inflammatory myopathy?

Authors:
- Yizhi Xiao
- Hui Luo
- Shiqing Liu
- Liping Duan
- Yunhui You
- Hongjun Zhao
- Xiaoxia Zuo
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Affiliations: Department of Rheumatology and Immunology, Xiangya Hospital, Central South University, Changsha, Hunan 410008, P.R. China
Published online on: May 11, 2017 https://doi.org/10.3892/etm.2017.4447
Pages: 349-354

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Abstract

Idiopathic inflammatory myopathy (IIM) comprises a group of rare systemic diseases characterized by progressive weakness of the symmetrical proximal limb muscles, elevated muscle enzymes, inflammation or necrosis on muscle biopsy. IIM may impair the function of multiple organs, particularly the heart. However, it rarely manifests as acute myocardial infarction (AMI) at initial presentation. The present study described the case of a 39‑year‑old woman with AMI, whose muscle biopsy on the left arm conformed to polymyositis. Coronary arteriography showed irregularities in the left descending and right coronary artery (25% diameter reduction in middle segment). It was concluded that AMI was the chief manifestation of IIM at initial presentation. Furthermore, to the best of our knowledge, the present study was the first to provide a systematic literature review to assess AMI in IIM patients and discuss the possible causes of AMI.

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