In:
Romanian Journal of Medical Practice, AMALTEA Medical Publishing House, Vol. 10, No. 3 ( 2015-09-30), p. 295-299
Abstract:
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.
Type of Medium:
Online Resource
ISSN:
1842-8258
,
2069-6108
Uniform Title:
Sindromul Kounis – o etiologie alternativă a infarctului miocardic acut
DOI:
10.37897/RJMP.2015.3
DOI:
10.37897/RJMP.2015.3.15
Language:
Unknown
Publisher:
AMALTEA Medical Publishing House
Publication Date:
2015
detail.hit.zdb_id:
2570962-8