Allergic myocardial infarction (Kounis Syndrome)- non-ST elevation MI following Omnipaque contrast
Soberjot Singh1, Balraj Singh Bajaj2, David Chuquin3
1Department of Emergency Medicine, Virginia Commonwealth University, Richmond, VA, United States of America.
Abstract:
Kounis 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).
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