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Revista Mexicana de Cardiología

ISSN 0188-2198 (Print)
En 2019, la Revista Mexicana de Cardiología cambió a Cardiovascular and Metabolic Science

Ver Cardiovascular and Metabolic Science


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2012, Number 1

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Rev Mex Cardiol 2012; 23 (1)

Myocardial damage due to polyarteritis nodosa

Rosales USG, Castellanos CL, Vázquez LMJ, Morelos GM
Full text How to cite this article

Language: Spanish
References: 5
Page: 17-19
PDF size: 101.48 Kb.


Key words:

Cardiac magnetic resonance image, polyarteritis nodosa, delay enhancement, patchy lesions.

ABSTRACT

The polyarteritis nodosa (PAN) is nongranulomatous disease of only medium sized arteries, the etiology of medium sized vessel vasculitis compatible with PAN is unknown, instead the predominance of neutrophils and mononuclear cells, with weakening of the vessel wall and aneurysm formation, causing stenosis and occlusion and finally myocardial infarct. Other finding in PAN are conduction system abnormalities and systemic arterial hypertension. There a few knowledge relationed in cardiac damage by PAN, as we can notice in a old study realized in the Mayo Clinic by a review of autopsy records for the period 1926 to 1958 involving cases of PAN, the studies the heart in 66 cases. In this patient we can distinguish fibrosis using late gadolinium enhancement were we found a patchy pattern as old studies showed by autopsy.


REFERENCES

  1. Mandell B, Hoffman G. Rheumatic diseases and the cardiovascular system. In: Zipes D. Braunwald’s heart disease. 7th edition Philadelphia: Elsevier Saunders, 2004: 2107.

  2. Roberts WC, O’Rourke RA, Roldan JF. The connective tissue diseases and the cardiovascular system. In: Fuster V. The heart. 11th edition New York: McGraw-Hill, 2010: 2075.

  3. Holsinger DR, Osmoundson P, Edwards J. The heart in periarteritis nodosa. Circulation 1962; 25: 610-618.

  4. Weinsaft JW, Klem I, Judd RM. MRI for the assessment of myocardial viability. In: Kim R. Magnetic resonance imaging clinics of north America. Elsevier, 2007; 15: 505-525.

  5. Moon JC. Heart failure and cardiomyopathy. In: Varghese A, Pennell D. Cardiovascular magnetic resonance made easy. Elsevier, Philadelphia Elsevier. 2008:35-48.




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C?MO CITAR (Vancouver)

Rev Mex Cardiol. 2012;23