Acute Coronary Syndrome in Cisatracurium-induced Anaphylactic Shock: Kounis Syndrome

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منابع مشابه

Allergic acute coronary syndrome (Kounis syndrome).

Anaphylaxis rarely manifests as a vasospastic acute coronary syndrome with or without the presence of underlying coronary artery disease. The variability in the underlying pathogenesis produces a wide clinical spectrum of this syndrome. We present three cases of anaphylactic acute coronary syndrome that display different clinical variants of this phenomenon. The main pathophysiological mechanis...

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Kounis syndrome: A primary cause for the anaphylactic shock.

In the important paper of Kuda et al. [1] published in ”Cardiology Journal” it was found that vasospasm-induced coronary flow reduction is a major contributory factor in anaphylactic ventricular dysfunction. The authors concluded that during anaphylaxis the ensuing left ventricular dysfunction is attributed mainly to coronary vasoconstriction-induced myocardial ischemia. These and other experim...

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Cardiogenic shock secondary to metamizole-induced type II Kounis syndrome.

No further incidents have been documented during patient follow-up. In the cases presented, the mechanism underlying the induction of ventricular fibrillation could have been due to the continuous transmission—through the ventricular electrode to the interface with the myocardium—of the electrocautery radiofrequency pulses applied to the surrounding tissue or the pacemaker generator itself, alt...

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ژورنال

عنوان ژورنال: Acta Anaesthesiologica Taiwanica

سال: 2008

ISSN: 1875-4597

DOI: 10.1016/s1875-4597(09)60007-2