2014, Number 2
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CorSalud 2014; 6 (2)
A case of Kounis syndrome in Sagua la Grande
Santos MY, Pérez GJA, Mata CA, Rivero NR, Roque CJJ
Language: Spanish
References: 12
Page: 201-204
PDF size: 387.52 Kb.
ABSTRACT
Allergic acute coronary syndrome, also known as Kounis syndrome, is currently underdiagnosed as a result of its low disclosure. The case of a 29-year-old man is reported. He was stung by a wasp and developed an acute coronary syndrome with ST segment elevation related to the allergic process. After an appropriate treatment, the patient improved. The case is reported with the aim of raising awareness about a recently described disease that should be consider as a differential diagnosis in the presence of an acute coronary syndrome.
REFERENCES
Kounis NG, Zavras GM. Histamine-induced coronary artery spasm: the concept of allergic angina. Br J Clin Pract. 1991;45(2):121-8.
Kounis NG, Zavras GM. Allergic angina and allergic myocardial infarction. Circulation. 1996;94(7):1789.
Rich MW. Is vasospastic angina an inflammatory disease? Am J Cardiol. 2005;96(11):1612.
Waller BF. Nonatherosclerotic coronary heart disease. En: Fuster V, O’Rourke RA, Walsh RA, Poole-Wilson P, eds. Hurst’s The Heart. 12ma Ed. New York: McGraw Hill, 2008; p. 1277-1310.
Tanboga IH, Karabay CY, Can MM, Akgün T, Güler A, Turkylmaz E, et al. Kounis syndrome presenting with cardiogenic shock. J Cardiovasc Med (Hagers-town). 2011;12(11):833-6.
Garcipérez de Vargas FJ, Mendoza J, Sanchez-Calderón P, Ortiz C, Porro R, Mogollón-Jiménez MV. Shock cardiogénico secundario a síndrome de Kou-nis tipo II inducido por metamizol. Rev Esp Cardiol. 2012;65(12):1138-9.
Gázquez V, Dalmau G, Gaig P, Gómez C, Navarro S,
Mercé J. Kounis Syndrome: Report of 5 Cases. J Investig Allergol Clin Immunol. 2010;20(2):162-5.
Bani D, Nistri S, Mannaioni PF, Masini E. Cardiac anaphylaxis: pathophysiology and therapeutic pers-pectives. Curr Allergy Asthma Rep. 2006;6(1):14-9.
Reid A, Silver RB, Levi R. Renin: at the heart of the mast cell. Immunol Rev. 2007;217:123-40.
10.Mueller UR. Cardiovascular disease and anaphylaxis. Curr Opin Allergy Clin Immunol. 2007;7(4):337-41.
11.Cevik C, Nugent K, Shome GP, Kounis NG. Treat-ment of Kounis syndrome. Int J Cardiol. 2010;143(3): 223-6.