Cardiovascular Manifestations of Hypereosinophilic Syndromes
Open accessAbstract
The hypereosinophilic syndromes (HESs) are characterized by persistent marked eosinophilia (>1500 eosinophils/mm(3)), the absence of a primary cause of eosinophilia (such as parasitic or allergic disease), and evidence of eosinophil-mediated end organ damage. Cardiovascular complications of HES are a major source of morbidity and mortality in these disorders. The most characteristic cardiovascular abnormality in HES is endomyocardial fibrosis. Patients who have an HES also may develop thrombosis, particularly in the cardiac ventricles, but also occasionally in deep veins. Because of the rarity of these disorders, specific guidelines for the management of the cardiac and thrombotic complications of HES are lacking. This article reviews the diagnosis and management of the cardiovascular manifestations of HES.
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Approximately 20% to 50% of patients with hypereosinophilic syndrome exhibit inflammation or fibrosis in the heart.
“Approximately 20% to 50% of patients with hypereosinophilic syndrome exhibit inflammation or fibrosis in the heart”
From Autoimmune Myocarditis, Old Dogs and New Tricks. (2024) · cites this paper as [201]
The Background reports that more recent studies put cardiac disease in HES patients at approximately 40–50%, and its Cardiac Pathology discussion describes myocardial eosinophilic infiltration and later fibrosis. It does not give a 20–50% estimate specifically for patients with cardiac inflammation or fibrosis; its frequency estimate is for cardiac disease more broadly. (LLM, conf=0.85)
Experimental — accuracy not yet measuredOver 40% of patients with eosinophilic granulomatosis with polyangiitis experience cardiovascular complications.
“over 40% of patients with eosinophilic granulomatosis with polyangiitis, also known as ChurgStrauss, experience cardiovascular complications.”
From Autoimmune Myocarditis, Old Dogs and New Tricks. (2024) · cites this paper as [201]
The Background’s Differential Diagnosis section says Churg–Strauss syndrome can involve cardiovascular complications. But the Background’s 40–50% estimate applies to patients with hypereosinophilic syndromes, which the paper lists separately from Churg–Strauss syndrome; it does not establish an over-40% rate for Churg–Strauss patients. No page number is available in our copy. (LLM, conf=0.88)
Experimental — accuracy not yet measuredEosinophil-related autoimmune disorders are strongly linked to cardiovascular manifestations including myocarditis.
“eosinophil-related autoimmune disorders are strongly linked to cardiovascular manifestations including myocarditis.”
From Autoimmune Myocarditis, Old Dogs and New Tricks. (2024) · cites this paper as [201]
The Background reports that cardiovascular complications are a major source of morbidity and mortality in hypereosinophilic syndromes, and its Differential Diagnosis section identifies eosinophilic endomyocarditis among the cardiac manifestations of Churg–Strauss syndrome. It does not characterize these conditions collectively as autoimmune disorders, so the claim extends beyond the conditions the paper describes. (LLM, conf=0.83)
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- Authors
- Ogbogu, P. U., Rosing, D. R., & Horne, M. K.
- Affiliations
- National Institutes of Health (US)
- Corresponding author
- Ogbogu, Princess U.
- Venue
- Immunology and Allergy Clinics of North America
- Publisher
- Elsevier BV
- Published
- 2007-08
- Volume
- 27
- Issue
- 3
- Pages
- 457-475
- ISSN
- 0889-8561 (ISSN-L)
- PMC
- PMC2048688
- OpenAlex
- W2007976042
- Cited by
- 375
- References
- 6
- Citations by year
- 2026: 17 · 2025: 29 · 2024: 33 · 2023: 24 · 2022: 38 · 2021: 20 · 2020: 19 · 2019: 22 · 2018: 14 · 2017: 19 · 2016: 11 · 2015: 25 · 2014: 14 · 2013: 20 · 2012: 25
- FWCI
- 1.54
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Immunology and Allergy Clinics of North America (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (NIH0012170418)
- Topics
- Health Sciences › Medicine › Rheumatology › Eosinophilic Disorders and Syndromes
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Life Sciences › Immunology and Microbiology › Immunology › Immunodeficiency and Autoimmune Disorders
- Keywords
- hypereosinophilic syndrome, cardiovascular manifestations, endomyocardial fibrosis, cardiac thrombosis, deep vein thrombosis, eosinophilia, diagnosis
- MeSH terms
- Coronary Thrombosis, Diagnosis, Differential, Heart Diseases, Humans, Cytokines, Hypereosinophilic Syndrome
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