• Heart and vessels · May 2010

    Case Reports

    Coronary vasospasm secondary to allergic reaction following food ingestion: a case of type I variant Kounis syndrome.

    • Tadashi Wada, Mitsuru Abe, Nobuhito Yagi, Nobuaki Kokubu, Yoichiro Kasahara, Yu Kataoka, Yoritaka Otsuka, Yoichi Goto, and Hiroshi Nonogi.
    • Division of Cardiology, National Cardiovascular Center, 5-7-1 Fujishirodai, Suita, Osaka 565-8565, Japan.
    • Heart Vessels. 2010 May 1; 25 (3): 263-6.

    AbstractCoronary vasospasm can be induced by allergic reactions with some chemical mediators, and the angina and myocardial infarction secondary to allergy-induced coronary vasospasm are referred to as "Kounis syndrome." Only two cases of Kounis syndrome following food ingestion have been reported. However, they had pre-existing atheromatous coronary artery disease, and no provocation test to induce coronary vasospasm was done. We describe here another probable case of allergic vasospasm after food intake. To the best of our knowledge, this is the first documented report of a patient with food-induced allergic vasospasm subsequent to the provocation test with ergometrine maleate.

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