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KOUNIS SYNDROME or ADRENALİN SIDE-EFFECT?

Year 2022, Volume: 4 Issue: 3, 110 - 111, 30.12.2022

Oya Güven Meziyet Camuz Didar Elif Akgün Mert Avsever

https://doi.org/10.55994/ejcc.1190496

Abstract

Objective: Kounis syndrome is defined as acute coronary syndrome secondary to a hypersensitivity reaction. Detailed assessment should be taken during treating this syndrome, as coronary vasospasm may develop secondary to anti-allergic drugs. We report a case of myocardial infarction where the effects of adrenaline are intertwined with Kounis syndrome.
Case Report: A 66-year-old male patient was brought to the emergency department with a bee sting. Adrenaline was administered in the ambulance because syncope developed. ECG diagnosed inferior myocardial infarction.
Results and Conclusion: This syndrome warrants close attention due to coronary vasospasm risk caused by anti-allergy agents, as they can exacerbate a concurrent myocardial infarction.

Keywords

Kounis Syndrome Adrenaline Side-effect Myocardial infarction Anti-allergy

References

  • Referans1. Kounis NG, Zavras GM. Histamine-induced coronary artery spasm: the concept of allergic angina. The British journal of clinical practice. 1991; 45(2), 121-128.
  • Referans2. Constantinides P, Harkey M. Electron microscopic exploration of human endothelium in step-serial sections of early and advanced atherosclerotic lesions. Annals of the New York Academy of Sciences. 1990; 598, 113-124.
  • Referans3. Gonzalez-de-Olano D, Alvarez-Twose I, Matito A, Sanchez-Munoz L, Kounis NG, Escribano L. Mast cell activation disorders presenting with cerebral vasospasm-related symptoms: a" Kounis-like" syndrome? International journal of cardiology. 2011; 150(2), 210-211.
  • Referans4. Nikolaidis LA, Kounis NG, Gradman AH. Allergic angina and allergic myocardial infarction: a new twist on an old syndrome. The Canadian journal of cardiology. 2002; 18(5), 508-511.
  • Referans5. Bonadonna P, Perbellini O, Passalacqua G, Caruso B, Colarossi S, Dal Fior D, et.al. Clonal mast cell disorders in patients with systemic reactions to Hymenoptera stings and increased serum tryptase levels. Journal of allergy and clinical immunology. 2009; 123(3), 680-686.
  • Referans6. Mytas DZ, Stougiannos PN, Zairis MN, Tsiaousis GZ, Foussas SG, Hahalis GN, et.al. Acute anterior myocardial infarction after multiple bee stings. A case of Kounis syndrome. International Journal of Cardiology. 2009; 134(3), e129-e131.
  • Referans7. Bertel O, Buhler FR, Baitsch G, Ritz R, Burkart F. Plasma adrenaline and noradrenaline in patients with acute myocardial infarction: relationship to ventricular arrhythmias of varying severity. Chest. 1982; 82(1), 64-68.

Year 2022, Volume: 4 Issue: 3, 110 - 111, 30.12.2022

Oya Güven Meziyet Camuz Didar Elif Akgün Mert Avsever

https://doi.org/10.55994/ejcc.1190496

Abstract

References

  • Referans1. Kounis NG, Zavras GM. Histamine-induced coronary artery spasm: the concept of allergic angina. The British journal of clinical practice. 1991; 45(2), 121-128.
  • Referans2. Constantinides P, Harkey M. Electron microscopic exploration of human endothelium in step-serial sections of early and advanced atherosclerotic lesions. Annals of the New York Academy of Sciences. 1990; 598, 113-124.
  • Referans3. Gonzalez-de-Olano D, Alvarez-Twose I, Matito A, Sanchez-Munoz L, Kounis NG, Escribano L. Mast cell activation disorders presenting with cerebral vasospasm-related symptoms: a" Kounis-like" syndrome? International journal of cardiology. 2011; 150(2), 210-211.
  • Referans4. Nikolaidis LA, Kounis NG, Gradman AH. Allergic angina and allergic myocardial infarction: a new twist on an old syndrome. The Canadian journal of cardiology. 2002; 18(5), 508-511.
  • Referans5. Bonadonna P, Perbellini O, Passalacqua G, Caruso B, Colarossi S, Dal Fior D, et.al. Clonal mast cell disorders in patients with systemic reactions to Hymenoptera stings and increased serum tryptase levels. Journal of allergy and clinical immunology. 2009; 123(3), 680-686.
  • Referans6. Mytas DZ, Stougiannos PN, Zairis MN, Tsiaousis GZ, Foussas SG, Hahalis GN, et.al. Acute anterior myocardial infarction after multiple bee stings. A case of Kounis syndrome. International Journal of Cardiology. 2009; 134(3), e129-e131.
  • Referans7. Bertel O, Buhler FR, Baitsch G, Ritz R, Burkart F. Plasma adrenaline and noradrenaline in patients with acute myocardial infarction: relationship to ventricular arrhythmias of varying severity. Chest. 1982; 82(1), 64-68.
There are 7 citations in total.

Details

Primary Language English
Subjects Emergency Medicine
Journal Section Case Reports
Authors

Oya Güven 0000-0002-6389-4561

Meziyet Camuz 0000-0003-0999-7225

Didar Elif Akgün 0000-0001-6618-180X

Mert Avsever 0000-0002-7688-3909

Publication Date December 30, 2022
Submission Date October 18, 2022
Acceptance Date December 9, 2022
Published in Issue Year 2022 Volume: 4 Issue: 3

Cite

APA Güven, O., Camuz, M., Akgün, D. E., Avsever, M. (2022). KOUNIS SYNDROME or ADRENALİN SIDE-EFFECT?. Eurasian Journal of Critical Care, 4(3), 110-111. https://doi.org/10.55994/ejcc.1190496
AMA Güven O, Camuz M, Akgün DE, Avsever M. KOUNIS SYNDROME or ADRENALİN SIDE-EFFECT?. Eurasian j Crit Care. December 2022;4(3):110-111. doi:10.55994/ejcc.1190496
Chicago Güven, Oya, Meziyet Camuz, Didar Elif Akgün, and Mert Avsever. “KOUNIS SYNDROME or ADRENALİN SIDE-EFFECT?”. Eurasian Journal of Critical Care 4, no. 3 (December 2022): 110-11. https://doi.org/10.55994/ejcc.1190496.
EndNote Güven O, Camuz M, Akgün DE, Avsever M (December 1, 2022) KOUNIS SYNDROME or ADRENALİN SIDE-EFFECT?. Eurasian Journal of Critical Care 4 3 110–111.
IEEE O. Güven, M. Camuz, D. E. Akgün, and M. Avsever, “KOUNIS SYNDROME or ADRENALİN SIDE-EFFECT?”, Eurasian j Crit Care, vol. 4, no. 3, pp. 110–111, 2022, doi: 10.55994/ejcc.1190496.
ISNAD Güven, Oya et al. “KOUNIS SYNDROME or ADRENALİN SIDE-EFFECT?”. Eurasian Journal of Critical Care 4/3 (December 2022), 110-111. https://doi.org/10.55994/ejcc.1190496.
JAMA Güven O, Camuz M, Akgün DE, Avsever M. KOUNIS SYNDROME or ADRENALİN SIDE-EFFECT?. Eurasian j Crit Care. 2022;4:110–111.
MLA Güven, Oya et al. “KOUNIS SYNDROME or ADRENALİN SIDE-EFFECT?”. Eurasian Journal of Critical Care, vol. 4, no. 3, 2022, pp. 110-1, doi:10.55994/ejcc.1190496.
Vancouver Güven O, Camuz M, Akgün DE, Avsever M. KOUNIS SYNDROME or ADRENALİN SIDE-EFFECT?. Eurasian j Crit Care. 2022;4(3):110-1.
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