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- Title
SIMULTANEOUS CARDIO-CEREBRAL INFARCTION IN A MALE WITH ANKYLOSING SPONDYLITIS -- CASE REPORT.
- Authors
Ionescu, Mihaela; Parepa, Irinel-Raluca; Ramazan, Diler; Bordei, Petru
- Abstract
Increasing evidence shows that the underlying inflammatory process met in ankylosing spondylitis is similar to the chronic inflammatory process that causes atherosclerotic thrombosis in various stages, from early atherosclerotic plaque formation to plaque instability and thrombosis. Cardiovascular risk scores are useful in early detecting and promptly correcting the cardiovascular risk factors with the aim to prevent fatal cardiovascular disease. Unfortunately, the most commonly used charts have essential limitations when applied to young adults. We present the case of a 46-year-old man, known with HLA-B27-positive ankylosing spondylitis for 19 years, treated inconsistently with nonsteroidal anti-inflammatory drugs, without any traditional cardiovascular risk factors, who was diagnosed with simultaneously acute ischemic stroke and non-ST-segment elevation myocardial infarction, with severe lesions of both coronary and carotid arteries. In this clinical case report, I intend to emphasize the need to consider other parameters when estimating the risk of developing serious cardiovascular disease, such as the level of C-reactive protein or carotid plaques at the ultrasound, especially in young people known with chronic inflammatory disease.
- Subjects
ANKYLOSING spondylitis; CARDIOVASCULAR diseases; CAROTID artery; ISCHEMIC stroke; CARDIOVASCULAR diseases risk factors; COMORBIDITY; CORONARY arteries
- Publication
Romanian Journal of Functional & Clinical, Macro & Microscopical Anatomy & of Anthropology / Revista Româna de Anatomie Functionala si Clinica, Macro si Microscopica si de Antropologie, 2021, Vol 20, Issue 3, p190
- ISSN
1583-4026
- Publication type
Case Study