title: Vasospastic angina pectoris associated with Churg-Strauss syndrome.
abstract: BACKGROUND
  A 50-year-old woman presented with recurrent episodes of unstable angina pectoris refractory to vasodilator treatment. Relevant coronary stenoses were excluded by coronary angiography and intravascular ultrasonography. Intracoronary infusion of acetylcholine revealed diffuse coronary vasospasms associated with clinical signs of myocardial ischemia and ST-segment elevation. Symptoms of bronchial asthma, polyneuropathy, nasal polyps, allergic rhinitis, gastritis and eosinophilia led to a diagnosis of Churg-Strauss syndrome.
  
  
  METHODS
  Serum chemistry, coronary angiography, left-heart catheterization, intravascular ultrasonography and coronary vasospasm provocation with acetylcholine.
  
  
  METHODS
  Vasospastic angina pectoris associated with Churg-Strauss syndrome.
  
  
  RESULTS
  Treatment with systemic corticosteroids and cyclophosphamide.
authors.affiliation: Department of Cardiology, University Hospital Munich, Grosshadern, Germany.
authors.forename: Paraskevi
authors.initials: P
authors.lastname: Petrakopoulou
authors.forename: Wolfgang M
authors.initials: WM
authors.lastname: Franz
authors.forename: Peter
authors.initials: P
authors.lastname: Boekstegers
authors.forename: Michael
authors.initials: M
authors.lastname: Weis
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000789:Angina, Unstable / Q000209:etiology*; D018501:Antirheumatic Agents / Q000627:therapeutic use; D015267:Churg-Strauss Syndrome / Q000150:complications* / Q000175:diagnosis; D003329:Coronary Vasospasm / Q000209:etiology*; D003520:Cyclophosphamide / Q000627:therapeutic use; D004562:Electrocardiography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000209:etiology; D012008:Recurrence
chemical_list: D000305:Adrenal Cortex Hormones; D018501:Antirheumatic Agents; D003520:Cyclophosphamide