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An Unusual Case of Recurrent Hypersensitivity Reaction Associated with Kounis-Like Acute Coronary Syndrome
Joint Authors
Abidov, Aiden
Kundumadam, Shanker
Reddy, Vivek
Mallikethi Reddy, Sagar
Kathi, Pradeep
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-08-27
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
There have been multiple reports of allergic reactions associated with acute coronary syndromes.
This has been classically described as Kounis syndrome.
We present an unusual case of 70-year-old male with multiple prior hypersensitivity reactions and history of coronary artery bypass grafting who presented recurrent episode of severe angioedema and anaphylaxis.
He responded to epinephrine but subsequently developed a non-ST elevation myocardial infarction with worsening heart failure.
Our case is unique in that, unlike classic Kounis syndrome, the acute coronary event in this case did not present concurrently with the allergic reaction; rather it took nearly 48 hours to present.
Subsequent angiogram revealed patent grafts and significant decline in the left ventricular systolic function as compared to his own ECHO a year ago.
We postulate that slow mediators of inflammation may play a role in delayed development of acute coronary events with associated LV dysfunction following episodes of angioedema and anaphylaxis.
American Psychological Association (APA)
Kundumadam, Shanker& Reddy, Vivek& Mallikethi Reddy, Sagar& Kathi, Pradeep& Abidov, Aiden. 2017. An Unusual Case of Recurrent Hypersensitivity Reaction Associated with Kounis-Like Acute Coronary Syndrome. Case Reports in Cardiology،Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1144124
Modern Language Association (MLA)
Kundumadam, Shanker…[et al.]. An Unusual Case of Recurrent Hypersensitivity Reaction Associated with Kounis-Like Acute Coronary Syndrome. Case Reports in Cardiology No. 2017 (2017), pp.1-3.
https://search.emarefa.net/detail/BIM-1144124
American Medical Association (AMA)
Kundumadam, Shanker& Reddy, Vivek& Mallikethi Reddy, Sagar& Kathi, Pradeep& Abidov, Aiden. An Unusual Case of Recurrent Hypersensitivity Reaction Associated with Kounis-Like Acute Coronary Syndrome. Case Reports in Cardiology. 2017. Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1144124
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1144124