Abstract
Amaç: Kounis Sendromu (KS) allerjenle temas sonrası koroner arterlerde geçici vazospazm gelişmesi olarak tarif edilir. Şiddetli göğüs ağrısı, ST eleve ya da non-ST eleve miyokardiyal infarkt şeklinde kendini gösterebilir. KS nedenleri arasında arı sokmaları, her türlü ilaçlar ve yiyecekler sayılabilir.
Olgu: 25 yaşındaki bayan hastada metamizol infüzyonu sonrası dispne ve senkop gelişmiştir. Acil servisteki takibi esnasında, şiddetli göğüs ağrısı oldu ve kan sonuçlarında Troponin I seviyesi yüksekliği saptandı. Koroner anjiyograma alındı ve koroner arterlerinde darlık saptanmadı. Yoğun bakıma yatırılıp destek tedavisi aldıktan sonra Troponin I seviyesi düştü ve hasta tam iyilik haliyle taburcu edildi.
Sonuç: Mortalite ve morbiditeyi azaltmak için acil doktorları bu nadir hastalık için dikkatli olmalıdırlar.
References
- Kounis, N.G, Zavras, G.M. Histamine-induced coronary artery spasm: the concept of allergic angina. Br J Clin Pract 1991;45:121–128. 2. Buturak A, Norgaz T, Gorgulu S. Brivudine induced coronary vasospasm as a manifestation of Kounis syndrome: First report. Int J Cardiol 2015;185:4-6. 3. Garcipérez de Vargas FJ, Mendoza J, Sánchez-Calderón P, Ortiz C, Porro R, Mogollón-Jiménez MV. Cardiogenic shock secondary to metamizole-induced type II Kounis syndrome. Rev Esp Cardiol (Engl Ed). 2012;65:1138-9. 4. Ralapanawa DM, Kularatne SA. Kounis syndrome secondary to amoxicillin/clavulanic acid administration: a case report and review of literature. BMC Res Notes 2015:26;8:97. 5. Kounis NG, Soufras GD, Davlouros P, Tsigkas G, Hahalis G. Combined etiology of anaphylactic cardiogenic shock: Amiodarone, epinephrine, cardioverter defibrillator, left ventricular assist devices and the Kounis syndrome. Ann Card Anaesth 2015; 18:261-4.
- Juste JF, Garces TR, Enguita RG, Blasco PC, Trallero JA. [Cardiac complications in a metamizole-induced type I Kounis syndrome.] [Article in Portuguese] Rev Bras Anestesiol. 2015 Mar 5. pii: S0034-7094(13)00103-7. 7. Ralapanawa DM, Kularatne SA. A case of Kounis syndrome after a hornet sting and literature review. BMC Res Notes 2014,3; 7:867. 8. Hamilos MI, Kochiadakis GE, Skalidis EI, Igoumenidis NE, Zaharaki A, Vardas PE. Acute myocardial infarction ina patient with normal coronary arteries after an allergic reaction. Hellenic J Cardiol 2005; 46:79-82. 9. Gunawardena MD, Weerasinghe A, Herath J, Amarasena N.Myocardial infarction associated with eosinophilia and plasma extravasation at multiple sites. A variant of Kounis syndrome. BMJ Case Rep. 2015 Jan 21; 2015. pii: bcr2014207987.
Abstract
References
- Kounis, N.G, Zavras, G.M. Histamine-induced coronary artery spasm: the concept of allergic angina. Br J Clin Pract 1991;45:121–128. 2. Buturak A, Norgaz T, Gorgulu S. Brivudine induced coronary vasospasm as a manifestation of Kounis syndrome: First report. Int J Cardiol 2015;185:4-6. 3. Garcipérez de Vargas FJ, Mendoza J, Sánchez-Calderón P, Ortiz C, Porro R, Mogollón-Jiménez MV. Cardiogenic shock secondary to metamizole-induced type II Kounis syndrome. Rev Esp Cardiol (Engl Ed). 2012;65:1138-9. 4. Ralapanawa DM, Kularatne SA. Kounis syndrome secondary to amoxicillin/clavulanic acid administration: a case report and review of literature. BMC Res Notes 2015:26;8:97. 5. Kounis NG, Soufras GD, Davlouros P, Tsigkas G, Hahalis G. Combined etiology of anaphylactic cardiogenic shock: Amiodarone, epinephrine, cardioverter defibrillator, left ventricular assist devices and the Kounis syndrome. Ann Card Anaesth 2015; 18:261-4.
- Juste JF, Garces TR, Enguita RG, Blasco PC, Trallero JA. [Cardiac complications in a metamizole-induced type I Kounis syndrome.] [Article in Portuguese] Rev Bras Anestesiol. 2015 Mar 5. pii: S0034-7094(13)00103-7. 7. Ralapanawa DM, Kularatne SA. A case of Kounis syndrome after a hornet sting and literature review. BMC Res Notes 2014,3; 7:867. 8. Hamilos MI, Kochiadakis GE, Skalidis EI, Igoumenidis NE, Zaharaki A, Vardas PE. Acute myocardial infarction ina patient with normal coronary arteries after an allergic reaction. Hellenic J Cardiol 2005; 46:79-82. 9. Gunawardena MD, Weerasinghe A, Herath J, Amarasena N.Myocardial infarction associated with eosinophilia and plasma extravasation at multiple sites. A variant of Kounis syndrome. BMJ Case Rep. 2015 Jan 21; 2015. pii: bcr2014207987.
Details
| Authors | |
|---|---|
| Submission Date | September 16, 2016 |
| Publication Date | September 1, 2016 |
| IZ | https://izlik.org/JA54ND79LF |
| Published in Issue | Year 2016 Volume: 6 Issue: 3 |
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