Contrast Media Induced Kounis Syndrome: A Case Report

Diagnostics

Da-Sen Chien¹  Po-Chen Lin¹  Meng-Yu Wu¹  Giou-Teng Yiang¹  AndyPo-Yi Tsai² 

[1] Department of Emergency Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei 231, Taiwan;Department of Medical Research, Buddhist Tzu Chi General Hospital, Hualien 970, Taiwan;

关键词: contrast media;    kounis syndrome;    cardiac arrest;    acute coronary syndrome;   

DOI  :  10.3390/diagnostics9040154

来源: DOAJ

【 摘 要 】

Kounis syndrome is a rare anaphylactic reaction leading to coronary spasm, acute plaque rupture, or intrastent stenosis. Many types of medicine or environmental factors can potentially trigger Kounis syndrome by mast cell allergic reactions. In severe Kounis syndrome, reduced blood pressure or cardiac arrest may be accompanying symptoms. The treatment strategy for Kounis syndrome is usually difficult due to both cardiac dysfunction and allergic reactions. The delay to intervention to break the vicious circle may cause catastrophic complications. Therefore, early diagnosis is critical for physicians to outline detailed etiology for prevention and treat the cardiac and allergic symptoms in a timely manner. Here, we describe a case presenting rare severe Kounis syndrome with cardiac arrest which occurred after the administration of a contrast media.

【 授权许可】

Unknown