Contrast Media Induced Kounis Syndrome: A Case Report
Kounis syndrome is a rare anaphylactic reaction leading to coronary spasm, acute plaque rupture, or intrastent stenosis. Many types of medicine or environmental factors can potentially trigger Kounis syndrome by mast cell allergic reactions. In severe Kounis syndrome, reduced blood pressure or cardi...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2019-10-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/9/4/154 |
| _version_ | 1797999639227531264 |
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| author | Da-Sen Chien Andy Po-Yi Tsai Po-Chen Lin Giou-Teng Yiang Meng-Yu Wu |
| author_facet | Da-Sen Chien Andy Po-Yi Tsai Po-Chen Lin Giou-Teng Yiang Meng-Yu Wu |
| author_sort | Da-Sen Chien |
| collection | DOAJ |
| description | Kounis syndrome is a rare anaphylactic reaction leading to coronary spasm, acute plaque rupture, or intrastent stenosis. Many types of medicine or environmental factors can potentially trigger Kounis syndrome by mast cell allergic reactions. In severe Kounis syndrome, reduced blood pressure or cardiac arrest may be accompanying symptoms. The treatment strategy for Kounis syndrome is usually difficult due to both cardiac dysfunction and allergic reactions. The delay to intervention to break the vicious circle may cause catastrophic complications. Therefore, early diagnosis is critical for physicians to outline detailed etiology for prevention and treat the cardiac and allergic symptoms in a timely manner. Here, we describe a case presenting rare severe Kounis syndrome with cardiac arrest which occurred after the administration of a contrast media. |
| first_indexed | 2024-04-11T11:07:52Z |
| format | Article |
| id | doaj.art-cfb40a9675fb4b1c8a2a46255d7a7f4d |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-04-11T11:07:52Z |
| publishDate | 2019-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-cfb40a9675fb4b1c8a2a46255d7a7f4d2022-12-22T04:28:14ZengMDPI AGDiagnostics2075-44182019-10-019415410.3390/diagnostics9040154diagnostics9040154Contrast Media Induced Kounis Syndrome: A Case ReportDa-Sen Chien0Andy Po-Yi Tsai1Po-Chen Lin2Giou-Teng Yiang3Meng-Yu Wu4Department of Emergency Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei 231, TaiwanDepartment of Medical Research, Buddhist Tzu Chi General Hospital, Hualien 970, TaiwanDepartment of Emergency Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei 231, TaiwanDepartment of Emergency Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei 231, TaiwanDepartment of Emergency Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei 231, TaiwanKounis syndrome is a rare anaphylactic reaction leading to coronary spasm, acute plaque rupture, or intrastent stenosis. Many types of medicine or environmental factors can potentially trigger Kounis syndrome by mast cell allergic reactions. In severe Kounis syndrome, reduced blood pressure or cardiac arrest may be accompanying symptoms. The treatment strategy for Kounis syndrome is usually difficult due to both cardiac dysfunction and allergic reactions. The delay to intervention to break the vicious circle may cause catastrophic complications. Therefore, early diagnosis is critical for physicians to outline detailed etiology for prevention and treat the cardiac and allergic symptoms in a timely manner. Here, we describe a case presenting rare severe Kounis syndrome with cardiac arrest which occurred after the administration of a contrast media.https://www.mdpi.com/2075-4418/9/4/154contrast mediakounis syndromecardiac arrestacute coronary syndrome |
| spellingShingle | Da-Sen Chien Andy Po-Yi Tsai Po-Chen Lin Giou-Teng Yiang Meng-Yu Wu Contrast Media Induced Kounis Syndrome: A Case Report Diagnostics contrast media kounis syndrome cardiac arrest acute coronary syndrome |
| title | Contrast Media Induced Kounis Syndrome: A Case Report |
| title_full | Contrast Media Induced Kounis Syndrome: A Case Report |
| title_fullStr | Contrast Media Induced Kounis Syndrome: A Case Report |
| title_full_unstemmed | Contrast Media Induced Kounis Syndrome: A Case Report |
| title_short | Contrast Media Induced Kounis Syndrome: A Case Report |
| title_sort | contrast media induced kounis syndrome a case report |
| topic | contrast media kounis syndrome cardiac arrest acute coronary syndrome |
| url | https://www.mdpi.com/2075-4418/9/4/154 |
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