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Anaphylactic cardiovascular collapse manifesting as myocardial infarction following salad consumption. A case of Kounis variant type I syndrome

Anaphylactic cardiovascular events constitute an underrated cause of medical emergencies in hospitalized patients. Coronary arteries and myocardium are targeted by anaphylactic mediators leading to acute coronary syndrome and imminent cardiovascular collapse. Early diagnosis and high clinical suspic...

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Autores principales: Vaina, Sophia, Chrysohoou, Christina, Bonfanti, Laura, Kounis, Nicholas G., Cervellin, Gianfranco, Georgiopoulos, Georgios, Tousoulis, Dimitris
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mattioli 1885 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7569581/
https://www.ncbi.nlm.nih.gov/pubmed/32191668
http://dx.doi.org/10.23750/abm.v91i1.8176
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author Vaina, Sophia
Chrysohoou, Christina
Bonfanti, Laura
Kounis, Nicholas G.
Cervellin, Gianfranco
Georgiopoulos, Georgios
Tousoulis, Dimitris
author_facet Vaina, Sophia
Chrysohoou, Christina
Bonfanti, Laura
Kounis, Nicholas G.
Cervellin, Gianfranco
Georgiopoulos, Georgios
Tousoulis, Dimitris
author_sort Vaina, Sophia
collection PubMed
description Anaphylactic cardiovascular events constitute an underrated cause of medical emergencies in hospitalized patients. Coronary arteries and myocardium are targeted by anaphylactic mediators leading to acute coronary syndrome and imminent cardiovascular collapse. Early diagnosis and high clinical suspicion are required to secure prompt life-saving treatment in these cases. However, physicians of both Cardiology and Internal Medicine Departments are not familiar with this condition. Recently, we diagnosed and treated a case of anaphylactic cardiovascular collapse manifesting as acute myocardial infarction following salad consumption. Notably, Kounis anaphylaxis-associated acute coronary syndrome is a rare cause of ST segment elevation myocardial infarction with normal or diseased coronary arteries. We recommend that Kounis syndrome and its variants should be taken into consideration in the differential diagnosis of ischemic heart disease in patients with signs of allergic reaction and/or medical history of previous allergic reactions, who experience acute coronary syndrome after exposure to certain environmental stimuli. (www.actabiomedica.it)
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spelling pubmed-75695812020-10-21 Anaphylactic cardiovascular collapse manifesting as myocardial infarction following salad consumption. A case of Kounis variant type I syndrome Vaina, Sophia Chrysohoou, Christina Bonfanti, Laura Kounis, Nicholas G. Cervellin, Gianfranco Georgiopoulos, Georgios Tousoulis, Dimitris Acta Biomed Case Report Anaphylactic cardiovascular events constitute an underrated cause of medical emergencies in hospitalized patients. Coronary arteries and myocardium are targeted by anaphylactic mediators leading to acute coronary syndrome and imminent cardiovascular collapse. Early diagnosis and high clinical suspicion are required to secure prompt life-saving treatment in these cases. However, physicians of both Cardiology and Internal Medicine Departments are not familiar with this condition. Recently, we diagnosed and treated a case of anaphylactic cardiovascular collapse manifesting as acute myocardial infarction following salad consumption. Notably, Kounis anaphylaxis-associated acute coronary syndrome is a rare cause of ST segment elevation myocardial infarction with normal or diseased coronary arteries. We recommend that Kounis syndrome and its variants should be taken into consideration in the differential diagnosis of ischemic heart disease in patients with signs of allergic reaction and/or medical history of previous allergic reactions, who experience acute coronary syndrome after exposure to certain environmental stimuli. (www.actabiomedica.it) Mattioli 1885 2020 2020-03-19 /pmc/articles/PMC7569581/ /pubmed/32191668 http://dx.doi.org/10.23750/abm.v91i1.8176 Text en Copyright: © 2020 ACTA BIO MEDICA SOCIETY OF MEDICINE AND NATURAL SCIENCES OF PARMA http://creativecommons.org/licenses/by-nc-sa/4.0 This work is licensed under a Creative Commons Attribution 4.0 International License
spellingShingle Case Report
Vaina, Sophia
Chrysohoou, Christina
Bonfanti, Laura
Kounis, Nicholas G.
Cervellin, Gianfranco
Georgiopoulos, Georgios
Tousoulis, Dimitris
Anaphylactic cardiovascular collapse manifesting as myocardial infarction following salad consumption. A case of Kounis variant type I syndrome
title Anaphylactic cardiovascular collapse manifesting as myocardial infarction following salad consumption. A case of Kounis variant type I syndrome
title_full Anaphylactic cardiovascular collapse manifesting as myocardial infarction following salad consumption. A case of Kounis variant type I syndrome
title_fullStr Anaphylactic cardiovascular collapse manifesting as myocardial infarction following salad consumption. A case of Kounis variant type I syndrome
title_full_unstemmed Anaphylactic cardiovascular collapse manifesting as myocardial infarction following salad consumption. A case of Kounis variant type I syndrome
title_short Anaphylactic cardiovascular collapse manifesting as myocardial infarction following salad consumption. A case of Kounis variant type I syndrome
title_sort anaphylactic cardiovascular collapse manifesting as myocardial infarction following salad consumption. a case of kounis variant type i syndrome
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7569581/
https://www.ncbi.nlm.nih.gov/pubmed/32191668
http://dx.doi.org/10.23750/abm.v91i1.8176
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