Detection of Adverse Cardiac Events in Patients with Acute Myocardial Infarction

Abdelrashid, Mahmoud Abdelaziz; Abdelrazek, Mohamed Yehya; Hassanien, Mosbah Taha; Elsamea, Magdy Mohamed Abd

doi:10.21608/ejhm.2022.252832

Cited by 1 publication

(1 citation statement)

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“…Anaphylaxis is an acute, serious, systemic allergic reaction related to a variety of triggers, mechanisms, clinical presentations, and grades of severity (1) . Several risk factors have been recognized for myocardial infarction (MI); however, the differential diagnosis of this condition in an anaphylactic patient is either an allergic acute coronary syndrome (ACS) known as Kounis syndrome or the effect of epinephrine treatment (2,3) . Kounis syndrome refers to the occurrence of ACS including coronary spasm, acute myocardial infarction, and stent thrombosis with mast cells and platelets activation in a patient experiencing hypersensitivity, allergy, or anaphylaxis (4) .…”

Section: Introductionmentioning

confidence: 99%

Remember Kounis in the Emergency Department: A Case Report

Ali¹,

Mohamed²,

Nawaz³

2023

The Egyptian Journal of Hospital Medicine

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Background: Anaphylaxis is a life-threatening allergic reaction. Epinephrine is the first-line treatment of this condition. Kounis syndrome indicates the occurrence of acute coronary syndrome in a patient of hypersensitivity, allergy, or anaphylaxis associated with mast cells and platelets activation. Epinephrine can be the etiology of myocardial infarction in this setting. Cases report: This report represents a case of a 58-year-old female who had myocardial infarction while being treated of anaphylaxis in response to cefuroxime intake. Conclusion: Emergency physicians should be aware of the possibility of myocardial infarction in anaphylactic patients to properly manage it.

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