ACUTE ST-SEGMENT ELEVATION MYOCARDIAL INFARCTION ASSOCIATED WITH DICLOFENAC-INDUCED ANAPHYLAXIS: CASE REPORT

被引：12

作者：

de Groot, J. W. B. ^{[1
]}

Gosselink, A. T. M. ^{[1
]}

Ottervanger, J. P. ^{[1
]}

机构：

[1] Isala Klin, Dept Cardiol, NL-8011 JW Zwolle, Netherlands

来源：

AMERICAN JOURNAL OF CRITICAL CARE | 2009年 / 18卷 / 04期

关键词：

EMERGENCY;

D O I：

10.4037/ajcc2009100

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

A patient in whom acute myocardial infarction developed during diclofenac-induced anaphylaxis is described. ST-segment elevation myocardial infarction is a rare complication of anaphylactic reactions, but can occur even in patients with angiographically normal coronary arteries. Physicians should be aware of such a complication in order to diagnose it early and treat it properly. In the patient described here, according to the temporal relationship with diclofenac intake and the exclusion of coronary stenosis, it is probable that diclofenac caused the symptoms. To our knowledge, this is the first reported case of Kounis syndrome due to diclofenac. The patient's recovery was uneventful. (American Journal of Critical Care. 2009; 18: 388,386-387)

引用

页码：388 / 387

页数：3

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