Vasospastic angina pectoris associated with Churg-Strauss syndrome.
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.
Petrakopoulou
Paraskevi
P
Department of Cardiology, University Hospital Munich, Grosshadern, Germany.
Franz
Wolfgang M
WM
Boekstegers
Peter
P
Weis
Michael
M
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
D000305:Adrenal Cortex Hormones; D018501:Antirheumatic Agents; D003520:Cyclophosphamide