A 50-year-old man with eosinophilia and cardiomyopathy: need for endomyocardial biopsy?
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.
Department of Cardiology, St Olavs University Hospital,Trondheim, Norway. lars.aakeroy@stolav.no
Lars
L
Aakerøy
Brage Høyem
BH
Amundsen
Johan Fredrik
JF
Skomsvoll
Bjørn Olav
BO
Haugen
Johannes
J
Soma
D054058:Acute Coronary Syndrome / Q000175:diagnosis* / Q000000981:diagnostic imaging; D001707:Biopsy, Needle / Q000379:methods*; D009202:Cardiomyopathies / Q000175:diagnosis / Q000473:pathology*; D015267:Churg-Strauss Syndrome / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D017023:Coronary Angiography / Q000379:methods; D003937:Diagnosis, Differential; D015150:Echocardiography, Doppler; D004802:Eosinophilia / Q000175:diagnosis*; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D018570:Risk Assessment; D013256:Steroids / Q000627:therapeutic use
D013256:Steroids