• Emerg. Med. Clin. North Am. · Feb 2022

    Review

    Allergic Acute Coronary Syndrome-Kounis Syndrome.

    • Leen Alblaihed and Maite Anna Huis In 't Veld.
    • Department of Emergency Medicine, University of Maryland School of Medicine, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA. Electronic address: https://twitter.com/LeenAlblaihed.
    • Emerg. Med. Clin. North Am. 2022 Feb 1; 40 (1): 69-78.

    AbstractAcute coronary syndrome (ACS) in the setting of an allergic/immunologic reaction is known as Kounis syndrome. It is an underdiagnosed and underrecognized disease entity. One must keep a high index of suspicions when managing a patient presenting with cardiac as well as allergic symptoms. There are 3 main variants to the syndrome. Treating the allergic reaction may alleviate the pain; however, ACS guidelines should be followed if cardiac ischemia is present.Copyright © 2021 Elsevier Inc. All rights reserved.

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