Article Text

Download PDFPDF
Acute coronary syndrome as the first presentation of antiphospholipid antibody syndrome
  1. Eldon Matthia1,
  2. Ellery Altshuler1,
  3. Dhaval K Naik2 and
  4. Ellen C Keeley2
  1. 1Internal Medicine, University of Florida College of Medicine, Gainesville, Florida, USA
  2. 2Division of Cardiology, University of Florida Department of Medicine, Gainesville, Florida, USA
  1. Correspondence to Dr Ellery Altshuler; ElleryAltshuler{at}


We describe a case of a 42-year-old man who presented with anginal chest pain. He had objective evidence of ongoing cardiac injury. After initial treatment for coronary arterial disease, cardiac catheterisation revealed diffuse coronary arterial thrombosis with embolisation. Follow-up testing implicated new-onset antiphospholipid antibody syndrome as the aetiology.

  • cardiovascular medicine
  • ischaemic heart disease
  • interventional cardiology
  • clinical diagnostic tests
  • haematology (incl blood transfusion)

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Contributors EM conceived the idea for the case report and is primarily responsible for the manuscript. EA helped with research and writing the manuscript. DKN and ECK helped write the manuscript draft and revisions, as well as obtaining and labeling images.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer-reviewed.