EOSINOPHILIC MYOCARDITIS COMPLICATED BY ACUTE MYOCARDIAL-INFARCTION -A CASE-REPORT

The authors report a patient with eosinophilic myocarditis who develop ed severe chest pain with marked elevation of the ST segment on the el ectrocardiogram, which led them to suspect the presence of acute myoca rdial infarction. Emergency coronary angiography showed numerous occlu sions and stenoses at the distal right and left coronary arteries, esp ecially affecting the latter, owing probably to thrombus. The angiogra phic findings in this case demonstrate the formation and obstruction o f thrombus in the small coronary arteries in a patient in the acute ne crotic stage of eosinophilic myocarditis, believed to be the first suc h case reported.