@entity1 with cardiovascular symptoms are mainly diagnosed in cardiological wards. However, sometimes the other reasons for acute @entity301 and @entity712 are found. One of such reasons is @entity1712 which can be recognized if number of blood eosinophils exceeds 1500/mm3. High @entity1712 is connected with production of cytotoxic eosinophilic proteins which can cause @entity1333 or @entity2401 . One of the better known @entity5441 syndromes is EGPA described by the pathomorphologists Churg and Strauss. The further research works allowed for the clinical characteristics of @entity1 with EGPA. In the course of this disease the following three phases were recognized : prodromal-allergic, eosinophilic, vasculitic. The definitive diagnosis can be established only in the third phase, when @entity1333 causes organ involvement. Besides symptoms of the respiratory tract ( @entity565 , @entity480 , @entity358 ) also cardiovascular symptoms, gastrointestinal tract symptoms, as well as @entity272 and kidneys involvement can appear. The most dangerous for @entity1 is involvement of the nervous and cardiovascular systems. We present a @entity1 with @entity565 and @entity1712 in whom EGPA was diagnosed in the course of acute recurrent substernal @entity662 , with subsequent signs of @entity299 .

Severe XXXX as the main symptom of eosinophilic granulomatosis and polyangiitis (Churg-Strauss syndrome).

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity1712 :: ('MESH:D004802', 'Disease') :: ['eosinophilia', 'hypereosinophilia'] @entity662 :: ('MESH:D002637', 'Disease') :: ['chest pain'] @entity712 :: ('MESH:D006333', 'Disease') :: ['heart failure'] @entity1333 :: ('MESH:D014657', 'Disease') :: ['eosinophilic vasculitis', 'vasculitis'] @entity301 :: ('MESH:D003327', 'Disease') :: ['coronary syndrome'] @entity565 :: ('MESH:D001249', 'Disease') :: ['asthma'] @entity299 :: ('MESH:D006331', 'Disease') :: ['cardiac insufficiency'] @entity5441 :: ('MESH:D017681', 'Disease') :: ['hypereosinophilic'] @entity358 :: ('MESH:D008171', 'Disease') :: ['eosinophilic lung infiltrations'] @entity272 :: ('MESH:D012871', 'Disease') :: ['skin lesions'] @entity480 :: ('MESH:D009298', 'Disease') :: ['nasal polyps'] @entity2401 :: ('MESH:D009205', 'Disease') :: ['eosinophilic myocarditis']
@entity712 :: (MESH:D006333,Disease) :: ['congestive heart failure']
