A rare cause of non-atherosclerotic myocardial infarction: Rheumatoid arthritis Non-aterosklerotik miyokart infarktüsünün nadir bir nedeni: Romatoid artrit

tricular and inferior wall myocardial infarction. Electrocardiogram revealed first degree atrioventricular block and ST-segment elevation in inferior and right precordial leads. She did not have history of cardiovascular disease or any risk factor. She was on 20 mg oral methylprednisolone treatment daily for eight years due to rheumatoid arthritis. Cushing’s syndrome developed because of the steroid therapy. The transthorasic echocardiography revealed apical and inferior wall hypokinesia with concomitant right ventricular lateral wall akinesia. After the first assessment, she was transferred to the coronary angiography unit. In coronary angiography, the right coronary artery was totally occluded proximally, the circumflex artery was filled by thrombus up to its second obtuse marginal branch and the left anterior descending artery had a dense thrombus after its second diagonal branch [Fig 1 and 2].