Journal List > Korean Circ J > v.19(2) > 1072492

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Kim, Cho, Kong, Lee, Kim, Lee, Oh, Park, Choi, Seo, Lee, and Park: Takayasu's Arteritis -A Case Complicated with Acute Myocardial Infarction and Renovascular Hypertension-
Case Report
Korean Circulation Journal

Korean Circulation Journal 1989; 19(2): 355-363.

Published online: 30 June 1989

DOI: https://doi.org/10.4070/kcj.1989.19.2.355

Takayasu's Arteritis -A Case Complicated with Acute Myocardial Infarction and Renovascular Hypertension-

Chee Jeong Kim, M.D., Myeong Chan Cho, M.D., Hyun Ho Kong, M.D., Dong Soo Lee, M.D., Woo Seon Kim, M.D., Kyung Soo Lee, M.D., Byung Hee Oh, M.D., Young Bae Park, M.D., Yun Shik Choi, M.D., Jung Don Seo, M.D., Young Woo Lee, M.D., Jae Hyung Park, M.D.

Copyright © 1989 The Korean Society of Circulation

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

This report describes a 26-year-old man of Takayasu's arteritis complicated with acute myocardial infarction due to the occlusion of proximal left anterior descending artery and renovascular hypertension which was improved spontaneously without obstruction of stenotic renal artery. Coronary artery involvement and myocardial ischemic symptom in Takayasu's arteritis is uncommon and only about 10 case of acute myocardial infarction were reported. But most cases were diagnosed by autopsy after death. In this case, acute myocardial infarction developed during follow up after diagnosis of Takayasu's aortitis and coronary artery involvement was confirmed by coronary angingraphy.
Hypertension is found in 40-70% of the cases. In our case hypertension was complicated and thought to be renovascular origin. It was refractory to medication including captopril. During follow up blood pressure was normalized spontaneously after wide fluctuations for 3 times. Now he is normotensive without medication. It is thought to give a new insight to the mechanism and treatment of renovascular hypertension.

Keywords: Takayasu's arteritis, Acute myocardial infarction, Renovascular hypertension

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