A 50-year-old man with eosinophilia and cardiomyopathy: need for endomyocardial biopsy?

Eur J Echocardiogr. 2011 Mar;12(3):257-9. doi: 10.1093/ejechocard/jeq167. Epub 2010 Dec 7.

Abstract

A 50-year-old man was admitted with a suspected acute coronary syndrome. The coronary angiogram, however, was normal. He was found to have a cardiomyopathy and eosinophilia. The diagnosis was established as a perimyocarditis secondary to the Churg-Strauss syndrome. An important question is whether an endomyocardial biopsy should have been performed.

Publication types

  • Case Reports

MeSH terms

  • Acute Coronary Syndrome / diagnosis*
  • Acute Coronary Syndrome / diagnostic imaging
  • Biopsy, Needle / methods*
  • Cardiomyopathies / diagnosis
  • Cardiomyopathies / pathology*
  • Churg-Strauss Syndrome / diagnosis*
  • Churg-Strauss Syndrome / drug therapy
  • Churg-Strauss Syndrome / pathology
  • Coronary Angiography / methods
  • Diagnosis, Differential
  • Echocardiography, Doppler
  • Eosinophilia / diagnosis*
  • Follow-Up Studies
  • Humans
  • Magnetic Resonance Imaging / methods
  • Male
  • Risk Assessment
  • Steroids / therapeutic use

Substances

  • Steroids