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The intersection of allergy and acute coronary syndrome: a type II Kounis syndrome case report

Published online by Cambridge University Press:  26 November 2024

Zhanwen Xu Open the ORCID record for Zhanwen Xu [Opens in a new window]  and
Zhe Han Open the ORCID record for Zhe Han [Opens in a new window]
Zhanwen Xu
Affiliation:
Affiliated Hospital of Hebei University, Baoding, Hebei, China
Zhe Han*
Affiliation:
Department of Cardiology, Affiliated Hospital of Hebei University, Baoding, Hebei, China
*
Corresponding author: Zhe Han; Email: 693809370@qq.com
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Abstract

This case report discusses a rare occurrence of type II Kounis syndrome, characterised by an acute myocardial infarction triggered by an allergic reaction. The patient, a young adult male, experienced urticaria soon after eating oysters, which quickly escalated to severe chest discomfort. Despite lacking typical cardiac risk factors, the electrocardiogram showed indications of ST-elevation myocardial infarction. This condition was further complicated by ventricular fibrillation, necessitating urgent life-saving measures. This case demonstrates the intricate and often overlooked relationship between hypersensitivity reactions and cardiovascular events. It highlights the necessity for increased vigilance and rapid diagnostic and treatment approaches in handling Kounis Syndrome, especially in emergency situations. The case underscores the importance of considering allergic causes in acute cardiac scenarios, particularly in patients who do not have standard risk factors for coronary artery disease.

Keywords

acute coronary syndromeallergic reactionKounis syndromeventricular fibrillation

Information

Type
Brief Report
Information
Cardiology in the Young , Volume 34 , Issue 10 , October 2024 , pp. 2236 - 2239
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Copyright
© The Author(s), 2024. Published by Cambridge University Press

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