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Case Reports
Allergic myocardial infarction (Kounis Syndrome)- non-ST elevation MI following Omnipaque contrast.
- Soberjot Singh, Balraj Singh Bajaj, David Chuquin, and Angela Bray Lindsay.
- Department of Emergency Medicine, Virginia Commonwealth University, Richmond, VA, United States of America. Electronic address: Soberjot.Singh@vcuhealth.org.
- Am J Emerg Med. 2023 May 1; 67: 197.e3197.e5197.e3-197.e5.
AbstractKounis Syndrome is an acute coronary syndrome in the setting of mast cell activation. Mast cell activation can be due to anaphylaxis, anaphylactoid reaction, allergies, or hypersensitivities. Three reported variants of Kounis Syndrome include: vasospastic allergic angina, allergic myocardial infarction, and stent thrombosis. Herein, we described a case of Type 2 Kounis Syndrome following iodinated contrast infusion for a fistulogram, which manifested as a rare non-ST elevation myocardial infarction (NSTEMI).Copyright © 2023 Elsevier Inc. All rights reserved.
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