PMID- 34109285
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240320
IS  - 2514-2119 (Electronic)
IS  - 2514-2119 (Linking)
VI  - 3
IP  - 4
DP  - 2019 Dec
TI  - A case report of eosinophilic granulomatosis and polyangiitis myocarditis 
      presenting as ST elevation myocardial infarction and showing positive response to 
      immunotherapy.
PG  - 1-6
LID - 10.1093/ehjcr/ytz161 [doi]
AB  - BACKGROUND: Acute ST elevation myocardial infarction (STEMI) is a medical 
      emergency and is most commonly due to atherosclerotic plaque rupture and 
      occlusion of coronary vessels. This case demonstrates that eosinophilic 
      granulomatosis with polyangiitis (EGPA) myocarditis can mimic acute STEMI. CASE 
      SUMMARY: A 44-year-old woman presented with acute chest pain, shortness of 
      breath, and collapse with ST elevation on electrocardiography. Coronary angiogram 
      showed unobstructed coronaries and chest film revealed left-sided consolidation. 
      Together with a thorough history, serum eosinophilia, cardiac magnetic resonance 
      (CMR), and computated tomography imaging, the patient was diagnosed with acute 
      EGPA myocarditis. She responded tremendously to steroid and cyclophosphamide 
      immunosuppression and subsequent CMR imaging demonstrated complete resolution of 
      myocarditis. DISCUSSION: CMR played a crucial role in the diagnosis and follow-up 
      of this rare presentation. In patients who present as a STEMI but show 
      unobstructed coronary vessels, EGPA may be a possible diagnosis.
CI  - (c) The Author(s) 2019. Published by Oxford University Press on behalf of the 
      European Society of Cardiology.
FAU - Gill, Jaspal Singh
AU  - Gill JS
AUID- ORCID: 0000-0001-9246-5371
AD  - Cardiology Department, Royal Free Hospital, Pond Street, London NW3 2QG, UK.
FAU - Fontana, Marianna
AU  - Fontana M
AUID- ORCID: 0000-0002-9233-9831
AD  - Cardiology Department, Royal Free Hospital, Pond Street, London NW3 2QG, UK.
FAU - Knight, Daniel
AU  - Knight D
AD  - Cardiology Department, Royal Free Hospital, Pond Street, London NW3 2QG, UK.
FAU - Kalra, Sundeep Singh
AU  - Kalra SS
AUID- ORCID: 0000-0002-1292-6973
AD  - Cardiology Department, Royal Free Hospital, Pond Street, London NW3 2QG, UK.
LA  - eng
GR  - FS/18/21/33447/BHF_/British Heart Foundation/United Kingdom
PT  - Case Reports
DEP - 20191026
PL  - England
TA  - Eur Heart J Case Rep
JT  - European heart journal. Case reports
JID - 101730741
PMC - PMC8183649
OTO - NOTNLM
OT  - Cardiac magnetic resonance imaging
OT  - Case report
OT  - Eosinophilic granulomatosis with polyangiitis (Churg-Strauss)
OT  - Myocarditis
OT  - ST elevation myocardial infarction
EDAT- 2019/10/26 00:00
MHDA- 2019/10/26 00:01
PMCR- 2019/10/26
CRDT- 2021/06/10 06:48
PHST- 2019/01/06 00:00 [received]
PHST- 2019/03/08 00:00 [revised]
PHST- 2019/10/22 00:00 [accepted]
PHST- 2021/06/10 06:48 [entrez]
PHST- 2019/10/26 00:00 [pubmed]
PHST- 2019/10/26 00:01 [medline]
PHST- 2019/10/26 00:00 [pmc-release]
AID - ytz161 [pii]
AID - 10.1093/ehjcr/ytz161 [doi]
PST - epublish
SO  - Eur Heart J Case Rep. 2019 Oct 26;3(4):1-6. doi: 10.1093/ehjcr/ytz161. 
      eCollection 2019 Dec.