{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T09:09:55Z","timestamp":1771232995920,"version":"3.50.1"},"reference-count":16,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,10,2]]},"abstract":"<jats:p>Patients with Churg-Strauss syndrome often suffer from unusual cardiac manifestations and sudden cardiac death. This differs from patients with other autoimmune disorders, who typically present with premature ischaemic heart disease. We report the case of a 56-year-old man with recurrent coronary vasospasm, including an inferoposterior ST-elevation myocardial infarction, complicated by bradycardic arrest. There was only minor coronary artery disease on coronary angiography. An elevated eosinophil count was noted. His medical history included allergic rhinitis with polyposis, adult-onset asthma and biopsy-proven eosinophilic oesophagitis. Review of his sinus biopsies demonstrated blood vessels with marked accumulation of eosinophils in extravascular areas. The patient, therefore, met the American College of Rheumatology criteria for Churg-Strauss syndrome. The patient was commenced on immunosuppression, with the return of the eosinophil count to within normal limits, and remains free of cardiovascular events over 24 months.<\/jats:p>","DOI":"10.1136\/bcr-2018-225321","type":"journal-article","created":{"date-parts":[[2018,10,26]],"date-time":"2018-10-26T04:52:50Z","timestamp":1540529570000},"page":"bcr-2018-225321","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Coronary artery vasospasm in a patient with Churg-Strauss syndrome"],"prefix":"10.1136","volume":"2018","author":[{"given":"Siddharth J","family":"Trivedi","sequence":"first","affiliation":[{"name":"Department of Cardiology, Westmead Hospital, Sydney, New South Wales, Australia"},{"name":"Westmead Clinical School, University of Sydney, Sydney, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Tanous","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Westmead Hospital, Sydney, New South Wales, Australia"},{"name":"Westmead Clinical School, University of Sydney, Sydney, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dan","family":"Suan","sequence":"additional","affiliation":[{"name":"Westmead Clinical School, University of Sydney, Sydney, New South Wales, Australia"},{"name":"Division of Immunology, Garvan Institute of Medical Research, Sydney, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,10,25]]},"reference":[{"key":"2025082700373210000_2018.oct25_1.bcr-2018-225321.1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2006-939518"},{"key":"2025082700373210000_2018.oct25_1.bcr-2018-225321.2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0b013e3181af35a5"},{"key":"2025082700373210000_2018.oct25_1.bcr-2018-225321.3","doi-asserted-by":"crossref","first-page":"627","DOI":"10.1002\/art.27263","article-title":"Cardiac involvement in Churg-Strauss syndrome","volume":"62","author":"Dennert","year":"2010","journal-title":"Arthritis Rheum"},{"key":"2025082700373210000_2018.oct25_1.bcr-2018-225321.4","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2012-201531"},{"key":"2025082700373210000_2018.oct25_1.bcr-2018-225321.5","doi-asserted-by":"crossref","first-page":"e61","DOI":"10.1016\/j.chest.2015.10.051","article-title":"A 39-year-old postpartum woman with foot drop and shortness of breath","volume":"149","author":"Mehta","year":"2016","journal-title":"Chest"},{"key":"2025082700373210000_2018.oct25_1.bcr-2018-225321.6","doi-asserted-by":"publisher","DOI":"10.1038\/ncpcardio0299"},{"key":"2025082700373210000_2018.oct25_1.bcr-2018-225321.7","doi-asserted-by":"crossref","DOI":"10.1378\/chest.103.3.978a","article-title":"Prinzmetal\u2019s angina pectoris revealing aneurysm of the right coronary artery during evolution of Churg-Strauss syndrome","volume":"103","author":"Drogue","year":"1993","journal-title":"Chest"},{"key":"2025082700373210000_2018.oct25_1.bcr-2018-225321.8","first-page":"775","article-title":"Acute coronary syndrome associated with Churg-Strauss syndrome","volume":"3","author":"Wagner","year":"2007","journal-title":"Vasc Health Risk Manag"},{"key":"2025082700373210000_2018.oct25_1.bcr-2018-225321.9","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(95)00432-7"},{"key":"2025082700373210000_2018.oct25_1.bcr-2018-225321.10","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2008.06.003"},{"key":"2025082700373210000_2018.oct25_1.bcr-2018-225321.11","doi-asserted-by":"publisher","DOI":"10.1016\/S0344-0338(88)80190-0"},{"key":"2025082700373210000_2018.oct25_1.bcr-2018-225321.12","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1097\/01.paf.0000127396.59458.03","article-title":"Death from spontaneous coronary artery dissection in a healthy postmenopausal woman","volume":"25","author":"Zagelidou","year":"2004","journal-title":"Am J Forensic Med Pathol"},{"key":"2025082700373210000_2018.oct25_1.bcr-2018-225321.13","first-page":"153","article-title":"[Survivor of cardiogenic shock following acute myocardial infarction with Churg-Strauss syndrome: first angiographic documention of coronary recanalization of infarct-related arteries: a case report]","volume":"44","author":"Kubota","year":"2004","journal-title":"J Cardiol"},{"key":"2025082700373210000_2018.oct25_1.bcr-2018-225321.14","doi-asserted-by":"publisher","DOI":"10.1126\/science.1100283"},{"key":"2025082700373210000_2018.oct25_1.bcr-2018-225321.15","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.eurheartj.a014996"},{"key":"2025082700373210000_2018.oct25_1.bcr-2018-225321.16","doi-asserted-by":"publisher","DOI":"10.1517\/14656566.5.1.25"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-225321","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T07:37:41Z","timestamp":1756280261000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-225321"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,10,25]]},"references-count":16,"alternative-id":["10.1136\/bcr-2018-225321"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-225321","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,10,25]]}}}