A rare cause of acute coronary syndrome: Kounis syndrome

被引：4

作者：

Almeida, Joao ^{[1
]}

Ferreira, Sara ^{[2
]}

Malheiro, Joana ^{[3
]}

Fonseca, Paulo ^{[1
]}

Caeiro, Daniel ^{[1
]}

Dias, Adelaide ^{[1
]}

Ribeiro, Jose ^{[1
]}

Game, Vasco ^{[1
]}

机构：

[1] Ctr Hosp Vila Nova de Gaia Espinho, Serv Cardiol, Vila Nova De Gaia, Portugal

[2] Hosp Divino Espirito Santo, Serv Cardiol, Ponta Delgada, Portugal

[3] Ctr Hosp Vila Nova de Gaia Espinho, Med Interna Serv, Vila Nova De Gaia, Portugal

来源：

REVISTA PORTUGUESA DE CARDIOLOGIA | 2016年 / 35卷 / 12期

关键词：

Kounis syndrome; Acute coronary syndrome; Coronary vasospasm; Allergy; MYOCARDIAL-INFARCTION; ALLERGIC ANGINA;

D O I：

10.1016/j.repc.2016.03.009

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Kounis syndrome is an acute coronary syndrome in the context of a hypersensitivity reaction. The main pathophysiological mechanism appears to be coronary vasospasm. We report the case of a patient with a history of allergy to quinolones, who was given ciprofloxacin before an elective surgical procedure and during drug administration developed symptoms and electrocardiographic changes suggestive of ST-segment elevation acute coronary syndrome. The drug was suspended and coronary angiography excluded epicardial coronary disease. Two hours after withdrawal of the drug the symptoms and ST elevation had resolved completely. (C) 2016 Sociedade Portuguesa de Cardiologia. Published by Elsevier Espana, S.L.U. All rights reserved.

引用

页数：4

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