Kounis syndrome is defined as the coincidental occurrence of allergic reaction and acute coronary syndrome secondary to vasospasm. Anti-inflammatory drugs are included as one of the multiple causes. Current data available about this syndrome come from case reports. We present the case of a patient who suffered Kounis syndrome with cardiogenic shock and asystole after intravenous infusion of Metamizole, and in which no lesions were observed in coronariography.

Kounis syndrome is defined as the coincidental occurrence of allergic reaction and acute coronary syndrome secondary to vasospasm. Anti-inflammatory drugs are included as one of the multiple causes. Current data available about this syndrome come from case reports. We present the case of a patient who suffered Kounis syndrome with cardiogenic shock and asystole after intravenous infusion of Metamizole, and in which no lesions were observed in coronariography.

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Las gestantes con telangiectasia hemorrágica hereditaria o síndrome de Rendu-Osler-Weber presentan un empeoramiento de su enfermedad debido a los cambios hemodinámicos del embarazo, con un aumento de la morbimortalidad. El manejo multidisciplinario de estas pacientes junto con un adecuado estudio preoperatorio, permite establecer un plan anestésico individualizado para el momento del parto. La anestesia espinal representa una opción adecuada en aquellos casos en que sea posible su realización. Palabras clave: Telangiectasia hemorrágica hereditaria, Síndrome de Rendu-Osler-Weber, Anestesia espinal, Cesárea.

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