Anaphylaxis from wasp stings inducing coronary thrombus
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Updated: Apr 29, 2026

Intracoronary Acetylcholine Provocation Testing for Assessment of Coronary Vasomotor Disorders
Published on: August 18, 2016
Sazzli Kasim1, Rafidah AbuBakar2, Eugene McFadden2
1Department of Cardiology, Universiti Teknologi MARA, Sg Buloh, Selangor, Malaysia ; Department of Cardiology, Cork University Hospital, Cork, Ireland.
Abstract:
Myocardial infarction as a result of wasp stings is a rare manifestation of acute coronary syndromes. It has been ascribed to kounis syndrome or allergic angina whose triggers include mast cell degranulation leading to coronary vasospasm and/or local plaque destabilisation. Its exact pathophysiology is still not clearly defined. We present a case of an acute coronary syndrome as a consequence of wasp stings and discuss its possible aetiology.
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