Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 6, 2021; 9(34): 10702-10707
Published online Dec 6, 2021. doi: 10.12998/wjcc.v9.i34.10702
Acute myocardial infarction induced by eosinophilic granulomatosis with polyangiitis: A case report
Xuan-Dong Jiang, Shan Guo, Wei-Min Zhang
Xuan-Dong Jiang, Shan Guo, Wei-Min Zhang, Intensive Care Unit, Affiliated Dongyang Hospital of Wenzhou Medical University, Jinhua 322100, Zhejiang Province, China
Author contributions: Jiang XD and Guo S reviewed the literature and contributed to manuscript drafting; Zhang WM critically revised the manuscript; all authors read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wei-Min Zhang, MD, Chief Doctor, Intensive Care Unit, Affiliated Dongyang Hospital of Wenzhou Medical University, No. 60 Wuning West Road, Jinhua 322100, Zhejiang Province, China. jalzhan@163.com
Received: June 3, 2021
Peer-review started: June 3, 2021
First decision: July 15, 2021
Revised: August 3, 2021
Accepted: October 14, 2021
Article in press: October 14, 2021
Published online: December 6, 2021
Core Tip

Core Tip: Eosinophilic granulomatosis with polyangiitis is a rare disease. Clinicians should be alert to the possibility of non-atherosclerotic coronary stenosis when finding non-diffuse coronary artery disease. Herein, we report a 69-year-old man who was diagnosed with acute myocardial infarction and who subsequently experienced unexplained heart failure and cardiogenic shock. The patient was eventually diagnosed with eosinophilic granulomatosis with polyangiitis, and these heart manifestations were one of the multiple organ dysfunction. After treatment with methylprednisolone combined with intravenous human immunoglobulin, the patient’s condition improved and he was discharged. Follow-up showed that heart failure recurred at 7 d after discharge.