• G Ital Cardiol (Rome) · Apr 2018

    Case Reports

    [Intravenous epinephrine for anaphylaxis: Kounis or takotsubo syndrome?]

    • Matteo Bianco, Chiara Lario, Paola Destefanis, Alessia Luciano, Enrico Cerrato, Carol Gravinese, Stefano Cirillo, and Roberto Pozzi.
    • Divisione di Cardiologia, A.O.U. San Luigi Gonzaga, Orbassano (TO).
    • G Ital Cardiol (Rome). 2018 Apr 1; 19 (4): 242-245.

    AbstractThe presence of an acute coronary syndrome in patients with anaphylaxis is a challenging diagnostic conundrum for the cardiologist. Both Kounis syndrome and takotsubo syndrome must be taken into account. We present here the case of a 46-year-old woman suffering from ventricular fibrillation after adrenaline infusion for an anaphylactic reaction. The case report shows the important role of a clear diagnostic work-up and the role of cardiac magnetic resonance in this clinical scenario to reach the final diagnosis of reverse takotsubo cardiomyopathy.

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