Author's reply

Allergic Acute Coronary Syndrome (Kounis Syndrome)

“…Our fi rst two cases were a form of type 2 KS, and the third case represented a form of type 1 KS. Th e second patient experienced transient complete heart block with anaphylaxis and is the second such report of KS associated with complete heart block described in the literature (8).…”

Kounis Syndrome-Anaphylactic Insult on Heart

“…For this situation arrangement, we depict three variable case introductions of anaphylactic ST rises, which incorporate ST-rise myocardial dead tissue (MI) within the sight of fundamental coronary corridor sickness and ST-height MI without hidden coronary conduit illness (unadulterated vasospasm). We additionally quickly audit the current writing on KSVV [4][5][6][7][8].…”

The Emerging Importance of Professional Liability Insurance Coverage for Pharmacists

“…[1] They point out bupivacaine and fentanyl could be a joint forces as antigens to induce anaphylactic shock and Kounis anaphylaxis-associated coronary syndrome. [2] We appreciate their explanation that simultaneous exposure of several allergens have an additive effect on sensitization of mast cells and basophils. [3] Hence, all patients who suffer peri-operative anaphylaxis required a detailed history and examination for drug allergy.…”