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一名患有嗜酸性粒细胞增多症和心肌病的50岁男性:是否需要进行心内膜心肌活检?

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

作者信息

Aakerøy Lars, Amundsen Brage Høyem, Skomsvoll Johan Fredrik, Haugen Bjørn Olav, Soma Johannes

机构信息

Department of Cardiology, St Olavs University Hospital,Trondheim, Norway.

出版信息

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

DOI:10.1093/ejechocard/jeq167
PMID:21138993
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.

摘要

一名50岁男性因疑似急性冠状动脉综合征入院。然而,冠状动脉造影结果正常。他被发现患有心肌病和嗜酸性粒细胞增多症。诊断为继发于变应性肉芽肿性血管炎的心肌外层炎。一个重要的问题是是否应该进行心内膜心肌活检。

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Is this an exacerbation of asthma? A cautionary tale.
这是哮喘发作吗?一个警示故事。
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