ReviewVirchows Archiv : an international journal of pathology2013
Eosinophilic coronary periarteritis (vasospastic angina and sudden death), a new type of coronary arteritis: report of seven autopsy cases and a review of the literature.
Review in Virchows Archiv : an international journal of pathology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed, 65 citations in OpenAlex.
- Non-atherosclerotic myocardial infarction in hypereosinophilic syndrome: emerging insights and therapeutic approaches.Heart (British Cardiac Society) · 2026Review
- Do Not Overlook the Existence of Specific Coronary Spasms, Which Are Often Juvenile and Refractory: Eosinophilia-associated Coronary Spasm.Internal medicine (Tokyo, Japan) · 2026Article
- Coronary vasospasm in a patient with RUNX1 mutation in eosinophilic leukemia and hypereosinophilic syndrome: A case report.Journal of cardiology cases · 2026Article
- Article
- Eosinophilic coronary periarteritis causing recurrent coronary spasms.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2025Article
- Spontaneous Coronary Dissection Review: A Complex Picture.Reviews in cardiovascular medicine · 2024Review
- Author's reply: An unusual case of two acute coronary syndrome episodes caused by allergic and non-allergic coronary artery dissection with potential coronary vasospasm association: a case report.European heart journal. Case reports · 2024Article
- What Is New in Spontaneous Coronary Artery Dissection?CJC open · 2024Review
- Coronary Artery Vasospasm in Patients With Eosinophilia.JACC. Case reports · 2023Article
- Coronary Artery Dissection and Myocarditis Caused by Eosinophilic Granulomatosis with Polyangiitis (EGPA): A Case Report.Journal of community hospital internal medicine perspectives · 2023Article
- Spontaneous coronary artery dissection in a patient with recent COVID-19 infection: A case report.Clinical case reports · 2022Article
- Review
- Vascular histopathology and connective tissue ultrastructure in spontaneous coronary artery dissection: pathophysiological and clinical implications.Cardiovascular research · 2022Article
- The presence of thrombus in spontaneous coronary artery dissection: A systematic review of autopsy findings.American heart journal plus : cardiology research and practice · 2022Article
- Spontaneous Coronary Artery Dissections: A Systematic Review.Journal of clinical medicine · 2021Review
- Fatal eosinophilic coronary periarteritis leads to dissection in a young patient: A case report.Journal of cardiology cases · 2020Article
- Kounis syndrome uncovers severe coronary disease: an unusual case of acute coronary syndrome secondary to allergic coronary vasospasm.BMJ case reports · 2019Article
- Sudden unexpected death due to coronary thrombosis associated with isolated necrotizing vasculitis in the coronary arteries of a young adult.Forensic science, medicine, and pathology · 2019Article
- How to Diagnose and Manage Angina Without Obstructive Coronary Artery Disease: Lessons from the British Heart Foundation CorMicA Trial.Interventional cardiology (London, England) · 2019Review
- Systemic inflammatory activation in patients with acute coronary syndrome secondary to nonatherosclerotic spontaneous coronary artery dissection.Northern clinics of Istanbul · 2018Article
Corrections and comments
- Commented on by
- Commented on by
- Erratum issuedTakata, Aya [corrected to Takada, Aya]
Authors and funding
8 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
A previously reported autopsy case of eosinophilic coronary periarteritis (ECPA, or isolated eosinophilic coronary periarteritis, IECPA), and an additional six autopsy cases of ECPA are reported. In addition, another four autopsy cases of ECPA reported in the literature are discussed. Fifteen cases of ECPA with spontaneous coronary dissection (hematoma), which appeared in the literature from 1987 to 2011, are also reviewed. The characteristic clinico-pathological findings of ECPA are: (a) variant angina (Prinzmetal's vasospastic angina) appeared mainly from evening to early in the morning; (b) allergy or allergic history could be identified in only three of a total of 11 cases; (c) sudden unexpected death (sudden cardiac death) usually occurred early in the morning; (d) eosinophilic inflammation limited to the adventitia and periadventitial soft issue appeared in the epicardial large coronary arteries, chiefly in the left coronary anterior descending artery; (e) fibrinoid necrosis or granuloma could not be found in or around the inflammatory area; (f) no type of vasculitis could be found in any other tissues or organs (i.e., localized and non-systemic periarteritis); (g) ECPA was frequently accompanied by spontaneous coronary arterial dissection (SCAD) in the affected wall; and (h) ECPA without SCAD appeared mainly in men (male/female ratio was 8:3), while EPCA with SCAD appeared in almost all female cases (male/female ratio was 1:14). Although the etiology and pathogenesis are still unknown, we believe that ECPA (with or without SCAD) might be a distinct new type of coronary arteritis.
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