Case Report: Area of Focus of Myocardial Infarction With Non-obstructive Coronary Arteries in Eosinophilic Granulomatosis With Polyangiitis

Background: Eosinophilic granulomatosis with polyangitis manifested as myocardial infarction with non-obstructed coronary arteries (MINOCA) is rarely reported.Case: We report a 43-year-old male patient without any cardiovascular risk factors presenting with acute chest pain. Electrocardiogram was su...

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Autores principales:	Xiaoxian Cui, Yang Peng, Jun Liu, Yugang Dong, Zexuan Wu, Yili Chen
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	EGPA MINOCA case report cardiac magnetic resonance STEMI Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/cb3d6b03be47475b88846f5f49867d84
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spelling	oai:doaj.org-article:cb3d6b03be47475b88846f5f49867d842021-11-12T06:22:29ZCase Report: Area of Focus of Myocardial Infarction With Non-obstructive Coronary Arteries in Eosinophilic Granulomatosis With Polyangiitis2297-055X10.3389/fcvm.2021.731897https://doaj.org/article/cb3d6b03be47475b88846f5f49867d842021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fcvm.2021.731897/fullhttps://doaj.org/toc/2297-055XBackground: Eosinophilic granulomatosis with polyangitis manifested as myocardial infarction with non-obstructed coronary arteries (MINOCA) is rarely reported.Case: We report a 43-year-old male patient without any cardiovascular risk factors presenting with acute chest pain. Electrocardiogram was suggestive of acute anterior and inferior myocardial infarction. MINOCA was confirmed based on significant elevated cardiac troponin and normal coronary arteries. Cardiac magnetic resonance (CMR) imaging revealed extended late gadolinium enhancement (LGE). Further diagnosis of eosinophilic granulomatosis with polyangitis (EGPA) was based on clinical manifestations and auxiliary examination. Subsequent immunosuppressive therapy led to regression of symptoms and significant resolution of LGE on CMR.Conclusion: Our case highlights that EGPA can be a rare cause of MINOCA. CMR is useful for differentiation diagnosis and evaluation of cardiac involvement.Xiaoxian CuiYang PengJun LiuJun LiuYugang DongYugang DongZexuan WuZexuan WuYili ChenYili ChenFrontiers Media S.A.articleEGPAMINOCAcase reportcardiac magnetic resonanceSTEMIDiseases of the circulatory (Cardiovascular) systemRC666-701ENFrontiers in Cardiovascular Medicine, Vol 8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	EGPA MINOCA case report cardiac magnetic resonance STEMI Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	EGPA MINOCA case report cardiac magnetic resonance STEMI Diseases of the circulatory (Cardiovascular) system RC666-701 Xiaoxian Cui Yang Peng Jun Liu Jun Liu Yugang Dong Yugang Dong Zexuan Wu Zexuan Wu Yili Chen Yili Chen Case Report: Area of Focus of Myocardial Infarction With Non-obstructive Coronary Arteries in Eosinophilic Granulomatosis With Polyangiitis
description	Background: Eosinophilic granulomatosis with polyangitis manifested as myocardial infarction with non-obstructed coronary arteries (MINOCA) is rarely reported.Case: We report a 43-year-old male patient without any cardiovascular risk factors presenting with acute chest pain. Electrocardiogram was suggestive of acute anterior and inferior myocardial infarction. MINOCA was confirmed based on significant elevated cardiac troponin and normal coronary arteries. Cardiac magnetic resonance (CMR) imaging revealed extended late gadolinium enhancement (LGE). Further diagnosis of eosinophilic granulomatosis with polyangitis (EGPA) was based on clinical manifestations and auxiliary examination. Subsequent immunosuppressive therapy led to regression of symptoms and significant resolution of LGE on CMR.Conclusion: Our case highlights that EGPA can be a rare cause of MINOCA. CMR is useful for differentiation diagnosis and evaluation of cardiac involvement.
format	article
author	Xiaoxian Cui Yang Peng Jun Liu Jun Liu Yugang Dong Yugang Dong Zexuan Wu Zexuan Wu Yili Chen Yili Chen
author_facet	Xiaoxian Cui Yang Peng Jun Liu Jun Liu Yugang Dong Yugang Dong Zexuan Wu Zexuan Wu Yili Chen Yili Chen
author_sort	Xiaoxian Cui
title	Case Report: Area of Focus of Myocardial Infarction With Non-obstructive Coronary Arteries in Eosinophilic Granulomatosis With Polyangiitis
title_short	Case Report: Area of Focus of Myocardial Infarction With Non-obstructive Coronary Arteries in Eosinophilic Granulomatosis With Polyangiitis
title_full	Case Report: Area of Focus of Myocardial Infarction With Non-obstructive Coronary Arteries in Eosinophilic Granulomatosis With Polyangiitis
title_fullStr	Case Report: Area of Focus of Myocardial Infarction With Non-obstructive Coronary Arteries in Eosinophilic Granulomatosis With Polyangiitis
title_full_unstemmed	Case Report: Area of Focus of Myocardial Infarction With Non-obstructive Coronary Arteries in Eosinophilic Granulomatosis With Polyangiitis
title_sort	case report: area of focus of myocardial infarction with non-obstructive coronary arteries in eosinophilic granulomatosis with polyangiitis
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/cb3d6b03be47475b88846f5f49867d84
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Case Report: Area of Focus of Myocardial Infarction With Non-obstructive Coronary Arteries in Eosinophilic Granulomatosis With Polyangiitis

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