Case report: Ioversol induced Kounis syndrome and cardiogenic shock

被引：3

作者：

Wang, Baoguo ^{[1
]}

Zhang, Weihua ^{[1
]}

Fu, Yu ^{[1
]}

Wang, Yin ^{[1
]}

Hao, Shouyan ^{[1
]}

机构：

[1] Jilin Univ, Dept Cardiol, Hosp 1, Changchun, Peoples R China

来源：

HELIYON | 2023年 / 9卷 / 04期

关键词：

Ioversol; Cardiogenic shock; Kounis syndrome; Allergy; Coronary spasm;

D O I：

10.1016/j.heliyon.2023.e14742

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

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.

引用

页数：5

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