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Anaphylactic cardiovascular collapse manifesting as myocardial infarction following salad consumption. A case of Kounis variant type I syndrome.
Vaina, Sophia; Chrysohoou, Christina; Bonfanti, Laura; Kounis, Nicholas George; Cervellin, Gianfranco; Georgiopoulos, Georgios; Tousoulis, Dimitris.
Afiliación
  • Vaina S; first Department of Cardiology, Hippokration Hospital, Athens medical School, Athens, Greece. sophiavaina@hotmail.com.
  • Chrysohoou C; first Department of Cardiology, Hippokration Hospital, Athens medical School, Athens, Greece. chrysohoou@usa.net.
  • Bonfanti L; Emergency Department. Academic Hospital of Parma, Italy. labonfanti@ao.pr.it.
  • Kounis NG; Department of Cardiology, University of Patras, School of Medicine, Patras, Greece. nkounis@otenet.gr.
  • Cervellin G; University Hospital of Parma, Italy. gcervellin@ao.pr.it.
  • Georgiopoulos G; first Department of Cardiology, Hippokration Hospital, Athens medical School, Athens, Greece. georgiopoulosgeorgios@gmail.com.
  • Tousoulis D; first Department of Cardiology, Hippokration Hospital, Athens medical School, Athens, Greece. drtousolis@hotmail.com.
Acta Biomed ; 91(1): 134-138, 2020 03 19.
Article en En | MEDLINE | ID: mdl-32191668
Anaphylactic cardiovascular events constitute an underrated cause of medical emergencies in hospitalized patients. Coronary arteries and myocardium are targeted by anaphylactic mediators leading to acute coronary syndrome and imminent cardiovascular collapse. Early diagnosis and high clinical suspicion are required to secure prompt life-saving treatment in these cases. However, physicians of both Cardiology and Internal Medicine Departments are not familiar with this condition. Recently, we diagnosed and treated a case of anaphylactic cardiovascular collapse manifesting as acute myocardial infarction following salad consumption. Notably, Kounis anaphylaxis-associated acute coronary syndrome is a rare cause of ST segment elevation myocardial infarction with normal or diseased coronary arteries. We recommend that Kounis syndrome and its variants should be taken into consideration in the differential diagnosis of ischemic heart disease in patients with signs of allergic reaction and/or medical history of previous allergic reactions, who experience acute coronary syndrome after exposure to certain environmental stimuli.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Síndrome de Kounis / Ensaladas / Anafilaxia Tipo de estudio: Diagnostic_studies / Etiology_studies / Screening_studies Límite: Female / Humans / Middle aged Idioma: En Revista: Acta Biomed Asunto de la revista: MEDICINA Año: 2020 Tipo del documento: Article País de afiliación: Grecia Pais de publicación: Italia
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Síndrome de Kounis / Ensaladas / Anafilaxia Tipo de estudio: Diagnostic_studies / Etiology_studies / Screening_studies Límite: Female / Humans / Middle aged Idioma: En Revista: Acta Biomed Asunto de la revista: MEDICINA Año: 2020 Tipo del documento: Article País de afiliación: Grecia Pais de publicación: Italia