Recurrent acute myocardial infarction and Kounis syndrome

2010 ◽  
Vol 142 (2) ◽  
pp. e20-e22 ◽  
Author(s):  
Salvatore Patanè ◽  
Filippo Marte ◽  
Alessio Currò ◽  
Claudia Cimino
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Kounis Syndrome

scholarly journals In-hospital acute myocardial infarction: A case of type II Kounis syndrome

2017 ◽  
Vol 36 (5) ◽  
pp. 391.e1-391.e5
Author(s):  
Rita Marinheiro ◽  
Pedro Amador ◽  
Filipa Semedo ◽  
Catarina Sá ◽  
Tatiana Duarte ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Type Ii ◽  
Kounis Syndrome

scholarly journals Kounis syndrome – an unusual etiology of acute myocardial infarction

2015 ◽  
Vol 10 (3) ◽  
pp. 295-299
Author(s):  
Vlad BĂTĂILĂ ◽  
◽  
Aura VÎJÎIAC ◽  
Lucian CÂLMÂC ◽  
Maria DOROBANŢU ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Conservative Approach ◽  
Inferior Myocardial Infarction ◽  
Kounis Syndrome ◽  
Wasp Sting ◽  
St Segment Elevation ◽  
Coronary Syndrome ◽  
Vasoactive Mediators ◽  
St Segment

Kounis syndrome is defined as an association between an acute coronary syndrome and acute systemic allergy involving vasoactive mediators released during the activation of the mast cells. A 79 year old woman arrives at the emergency department with syncope; she was stung by a wasp an hour before symptoms’ onset. Clinical examination was normal, excepet her left upper limb which had important edema. The ECG revealed ST-segment elevation in the inferior leads and negative T waves in the anterior leads. Emergency coronary angiography was performed, which revealed a 40% stenotic plaque on the mid LAD. A conservative approach was decided. The patient received standard anti-ischemic treatment and she was safely discharged after 6 days. We considered this case a Kounis syndrome induced by a wasp sting associated with a silent inferior myocardial infarction.

scholarly journals Kounis syndrome: Acute myocardial infarction following multiple bee stings

2021 ◽  
Vol 9 ◽  
pp. 2050313X2199920
Author(s):  
Selladurai Pirasath ◽  
Vallipuranathan Senthan ◽  
Manosha Harshani Seneviratne
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Acute Kidney Injury ◽  
Myocardial Injury ◽  
Kidney Injury ◽  
Clinical Feature ◽  
Hypothetical Case ◽  
Kounis Syndrome ◽  
Bee Sting ◽  
Systemic Manifestations

Usually, bee sting systemic envenomation is self-limited mild allergic reaction rarely associated with systemic manifestations such as anaphylaxis, myocardial injury, encephalitis, acute kidney injury and serum sickness. Kounis syndrome also known as allergic myocardial infarction is uncommon clinical feature and reported cases are scarce in literature. Herein, we described a hypothetical case of Kounis syndrome diagnosed in a 74-year-old man initially presenting for anaphylactic reaction.

Is 5-fluorouracil-induced vasospasm a Kounis syndrome? A diagnostic challenge

Perfusion ◽  
2011 ◽  
Vol 26 (6) ◽  
pp. 542-545 ◽  
Author(s):  
CY Karabay ◽  
C Gecmen ◽  
SM Aung ◽  
A Guler ◽  
O Candan ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Angina Pectoris ◽  
Allergic Reaction ◽  
Ventricular Arrhythmias ◽  
Rare Case ◽  
Late Complication ◽  
Kounis Syndrome ◽  
Diagnostic Challenge ◽  
The Common

Cardiovascular hypersensitivity is a rare and well-documented side-effect of 5-FU (5-fluorouracil). Besides the common complications such as angina pectoris and myocardial infarction, it can also cause cardiogenic shock, and supraventricular and ventricular arrhythmias. Studies have reported that FU-induced angina most commonly occurred due to vasospasm. In our case, 9 hours after stopping the infusion of 5-FU, the patients developed symptoms and electrocardiographic (ECG) findings consistent with acute myocardial infarction. We intend to share this rare case and discuss whether this late complication after 5-FU infusion is an FU-induced vasospasm or rather an allergic reaction leading to Kounis syndrome.

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