Kounis Syndrome Leading to Cardiac Arrest After Iodinated Contrast Exposure

Immune-mediated coronary spasm, called Kounis syndrome (KS), is not rare but is underdiagnosed. In this report, we present a case of KS induced by iodinated contrast resulting in cardiac arrest, requiring temporary mechanical circulatory support. We show angiographic evidence of KS and outline commo...

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Main Authors: Anthony R. Prisco, MD, PhD, Jason Allen, MD, Alejandra Gutierrez, MD, Alexander Zanotto, MD, Demetris Yannopoulos, MD, Jeremy Markowitz, MD, Jason A. Bartos, MD, PhD
Format: Article
Language:English
Published: Elsevier 2020-04-01
Series:JACC: Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666084920301273
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author Anthony R. Prisco, MD, PhD
Jason Allen, MD
Alejandra Gutierrez, MD
Alexander Zanotto, MD
Demetris Yannopoulos, MD
Jeremy Markowitz, MD
Jason A. Bartos, MD, PhD
author_facet Anthony R. Prisco, MD, PhD
Jason Allen, MD
Alejandra Gutierrez, MD
Alexander Zanotto, MD
Demetris Yannopoulos, MD
Jeremy Markowitz, MD
Jason A. Bartos, MD, PhD
author_sort Anthony R. Prisco, MD, PhD
collection DOAJ
description Immune-mediated coronary spasm, called Kounis syndrome (KS), is not rare but is underdiagnosed. In this report, we present a case of KS induced by iodinated contrast resulting in cardiac arrest, requiring temporary mechanical circulatory support. We show angiographic evidence of KS and outline commonly associated clinical features that may predict KS. (Level of Difficulty: Beginner.)
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spelling doaj.art-235e7d10f7634ccba292641f7cf720ee2022-12-21T22:02:13ZengElsevierJACC: Case Reports2666-08492020-04-0124626629Kounis Syndrome Leading to Cardiac Arrest After Iodinated Contrast ExposureAnthony R. Prisco, MD, PhD0Jason Allen, MD1Alejandra Gutierrez, MD2Alexander Zanotto, MD3Demetris Yannopoulos, MD4Jeremy Markowitz, MD5Jason A. Bartos, MD, PhD6Department of Medicine, Division of Cardiology, University of Minnesota, Minneapolis, MinnesotaDepartment of Medicine, Division of Cardiology, University of Minnesota, Minneapolis, MinnesotaDepartment of Medicine, Division of Cardiology, University of Minnesota, Minneapolis, MinnesotaDepartment of Medicine, Division of General Internal Medicine, University of Minnesota, Minneapolis, MinnesotaDepartment of Medicine, Division of Cardiology, University of Minnesota, Minneapolis, MinnesotaDepartment of Medicine, Division of Cardiology, University of Minnesota, Minneapolis, MinnesotaDepartment of Medicine, Division of Cardiology, University of Minnesota, Minneapolis, Minnesota; Address for correspondence: Dr. Jason A. Bartos, UMN–Cardiology Division, 420 Delaware Street SE, MMC 508, Minneapolis, Minnesota 55455.Immune-mediated coronary spasm, called Kounis syndrome (KS), is not rare but is underdiagnosed. In this report, we present a case of KS induced by iodinated contrast resulting in cardiac arrest, requiring temporary mechanical circulatory support. We show angiographic evidence of KS and outline commonly associated clinical features that may predict KS. (Level of Difficulty: Beginner.)http://www.sciencedirect.com/science/article/pii/S2666084920301273allergic reactionanaphylaxisKounis syndromePEA arrest
spellingShingle Anthony R. Prisco, MD, PhD
Jason Allen, MD
Alejandra Gutierrez, MD
Alexander Zanotto, MD
Demetris Yannopoulos, MD
Jeremy Markowitz, MD
Jason A. Bartos, MD, PhD
Kounis Syndrome Leading to Cardiac Arrest After Iodinated Contrast Exposure
JACC: Case Reports
allergic reaction
anaphylaxis
Kounis syndrome
PEA arrest
title Kounis Syndrome Leading to Cardiac Arrest After Iodinated Contrast Exposure
title_full Kounis Syndrome Leading to Cardiac Arrest After Iodinated Contrast Exposure
title_fullStr Kounis Syndrome Leading to Cardiac Arrest After Iodinated Contrast Exposure
title_full_unstemmed Kounis Syndrome Leading to Cardiac Arrest After Iodinated Contrast Exposure
title_short Kounis Syndrome Leading to Cardiac Arrest After Iodinated Contrast Exposure
title_sort kounis syndrome leading to cardiac arrest after iodinated contrast exposure
topic allergic reaction
anaphylaxis
Kounis syndrome
PEA arrest
url http://www.sciencedirect.com/science/article/pii/S2666084920301273
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