Response by Alexander et al to Letters Regarding Article, "A Shocking Development in a Young Male Athlete With Chest Pain".

摘要: We thank Dr McGorrian and colleagues for their insights on our challenging case recently presented in Circulation .1 Eosinophilic coronary periarteritis is an intriguing potential cause of patient’s presentation. As the authors describe, disease entity has been characterized patients with artery vasospasm associated dissection or sudden cardiac death. case, some may have a preexisting history atopy. The most distinguishing features eosinophilic are appreciated by histology, which reveals infiltration isolated to adventitia vasa vasorum epicardial arteries.2 Thus, this diagnosis difficult confirm outside autopsy. Some make less likely be main contributor his On angiography, there was no evidence aneurysmal changes, …