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Kounys syndrome after rocuronium administration.

B Del Val Villanueva1, S Telletxea Benguria1, I González-Larrabe1

  • 1Servicio de Anestesiología y Reanimación, Hospital de Galdakao-Usánsolo, Galdakao, Vizcaya, España.

Revista Espanola De Anestesiologia Y Reanimacion
|January 24, 2018
PubMed
Summary

Kounis syndrome, a condition involving allergic reactions and heart issues, can occur after exposure to allergens like rocuronium. This article details a type II Kounis syndrome case and its management.

Keywords:
Allergic anginaAllergic myocardial infarctionAnafilaxiaAnaphylaxisAngina alérgicaHipersensibilidadHypersensitivityInfarto de miocardio alérgicoKounisRocuronioRocuronium

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Area of Science:

  • Cardiology
  • Allergology
  • Clinical Medicine

Background:

  • Kounis syndrome is an allergic phenomenon associated with acute coronary events.
  • It is classified into types based on the severity of coronary artery obstruction.

Observation:

  • A case of type II Kounis syndrome is presented following exposure to rocuronium, a neuromuscular blocking agent.
  • The patient experienced acute coronary syndrome symptoms attributed to the allergic reaction.

Findings:

  • The study details the pathophysiology linking rocuronium-induced hypersensitivity to myocardial infarction.
  • Diagnostic findings confirmed the diagnosis of Kounis syndrome type II.

Implications:

  • This case highlights the importance of recognizing Kounis syndrome in patients with allergic reactions and cardiac symptoms.
  • Understanding the pathophysiology aids in appropriate treatment and management strategies for this rare condition.