Case report: Ioversol induced Kounis syndrome and cardiogenic shock
A 50-year-old male patient was admitted to the Cardiology Department of our hospital for intermittent chest pain for 9 days. Coronary angiography showed approximately 70% stenosis in the middle part of the left anterior descending branch. When the procedure was about to end, the patient experienced...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-04-01
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| Series: | Heliyon |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844023019497 |
| _version_ | 1797837118565777408 |
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| author | Baoguo Wang Weihua Zhang Yu Fu Yin Wang Shouyan Hao |
| author_facet | Baoguo Wang Weihua Zhang Yu Fu Yin Wang Shouyan Hao |
| author_sort | Baoguo Wang |
| collection | DOAJ |
| description | A 50-year-old male patient was admitted to the Cardiology Department of our hospital for intermittent chest pain for 9 days. Coronary angiography showed approximately 70% stenosis in the middle part of the left anterior descending branch. When the procedure was about to end, the patient experienced dyspnea, facial flushing and fall of blood pressure suddenly. At this time, the angiography showed severe spasm and stenosis of the left coronary artery. With antianaphylaxis, pressor therapy, fluid resuscitation and intracoronary administration of nitroglycerin, the left coronary spasm was relieved. A diagnosis of type II kounis syndrome induced by ioversol with cardiogenic shock was made. |
| first_indexed | 2024-04-09T15:19:40Z |
| format | Article |
| id | doaj.art-bd31403c7a7c469c8c08fa01a9df919a |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-04-09T15:19:40Z |
| publishDate | 2023-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-bd31403c7a7c469c8c08fa01a9df919a2023-04-29T14:50:44ZengElsevierHeliyon2405-84402023-04-0194e14742Case report: Ioversol induced Kounis syndrome and cardiogenic shockBaoguo Wang0Weihua Zhang1Yu Fu2Yin Wang3Shouyan Hao4Department of Cardiology, First Hospital of Jilin University, Changchun, ChinaDepartment of Cardiology, First Hospital of Jilin University, Changchun, ChinaDepartment of Cardiology, First Hospital of Jilin University, Changchun, ChinaDepartment of Cardiology, First Hospital of Jilin University, Changchun, ChinaCorresponding author.; Department of Cardiology, First Hospital of Jilin University, Changchun, ChinaA 50-year-old male patient was admitted to the Cardiology Department of our hospital for intermittent chest pain for 9 days. Coronary angiography showed approximately 70% stenosis in the middle part of the left anterior descending branch. When the procedure was about to end, the patient experienced dyspnea, facial flushing and fall of blood pressure suddenly. At this time, the angiography showed severe spasm and stenosis of the left coronary artery. With antianaphylaxis, pressor therapy, fluid resuscitation and intracoronary administration of nitroglycerin, the left coronary spasm was relieved. A diagnosis of type II kounis syndrome induced by ioversol with cardiogenic shock was made.http://www.sciencedirect.com/science/article/pii/S2405844023019497IoversolCardiogenic shockKounis syndromeAllergyCoronary spasm |
| spellingShingle | Baoguo Wang Weihua Zhang Yu Fu Yin Wang Shouyan Hao Case report: Ioversol induced Kounis syndrome and cardiogenic shock Heliyon Ioversol Cardiogenic shock Kounis syndrome Allergy Coronary spasm |
| title | Case report: Ioversol induced Kounis syndrome and cardiogenic shock |
| title_full | Case report: Ioversol induced Kounis syndrome and cardiogenic shock |
| title_fullStr | Case report: Ioversol induced Kounis syndrome and cardiogenic shock |
| title_full_unstemmed | Case report: Ioversol induced Kounis syndrome and cardiogenic shock |
| title_short | Case report: Ioversol induced Kounis syndrome and cardiogenic shock |
| title_sort | case report ioversol induced kounis syndrome and cardiogenic shock |
| topic | Ioversol Cardiogenic shock Kounis syndrome Allergy Coronary spasm |
| url | http://www.sciencedirect.com/science/article/pii/S2405844023019497 |
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