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Updated: Jul 19, 2025

Intracoronary Acetylcholine Provocation Testing for Assessment of Coronary Vasomotor Disorders
Published on: August 18, 2016
[Coronary anaphylaxis or Kounis syndrome]
Jean-Baptiste Bouillon-Minois1, François Saget2, Nicolas Peschanski2,3
1Pôle Urgences, CHU Clermont-Ferrand, France.
Abstract:
Although not well known, Kounis syndrome represents 3.4 % of anaphylactic reactions and has a high level of mortality (7 %). Its main clinical presentation looks like an acute coronary syndrome. We report the case of a 61-year old patient who was admitted in the emergency department because of a malaise with loss of consciousness due to a Kounis syndrome that occurred after the ingestion of amoxycilline.
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