DISCOVERY OF CORONARY ARTERY DISEASE DURING THE EVALUATION OF AN ISCHEMIC STROKE IN A YOUNG PATIENT WITH SYSTEMIC LUPUS ERYTHEMATOSUS: A CASE REPPORT

Authors

Lamiae Iben brahim, Karima Chokri, Badr Essanaa, Asmae Alahian, Nesma Bendagha, Rokya Fellat.

Journal Information

Journal: Medpeer Publisher

ISSN: 3066-2737

Volume: 3

Issue: 1

Date of Publication: 2026/01/10

DOI: 10.70780/medpeer.000QGQV

Abstract

Systemic lupus erythematosus (SLE) is associated with an increased risk of premature and often silent cardiovascular disease. We report the case of a 38-year-old woman with SLE, without known cardiovascular risk factors, admitted for an ischemic stroke. Cardiac investigations revealed silent coronary artery disease with myocardial involvement. Coronary angiography demonstrated a severe left anterior descending artery stenosis, treated by percutaneous coronary intervention, with angiographic success. This case highlights the atypical presentation of coronary artery disease in SLE and emphasizes the importance of systematic cardiovascular screening to prevent severe complications.

Keywords

Systemic lupus erythematosus; Coronary artery disease; Ischemic stroke; Cardiovascular complications; Silent myocardial infarction