Kounis syndrome

  • Jelena Vuckovic Filipovic Klinika za kardiologiju KC Kragujevac

Sažetak


Sažetak

Kunis sindrom predstavlja grupu simptoma koji se manifestuju kao nestabilna vazospastična ili ne-vazospastična angina, ili čak kao akutni infarct miokarda. Zapaljenski marker koji se oslobađaju tokom alergijskih reakcija su najčešće okidač za nastanak Kunis sindoma. Predstavljen je slučaj 79-ogodišnjeg muškarca sa akutnim infarktom miokarda nastalim nakon alergijske reakcije usled ujeda pčele.

Abstract

Kounis syndrome is a group of symptoms manifested as unstable vasospastic or non-vasospastic angina, or even as acute myocardial infarction. Inflammatory mediators released into a bloodstream during some allergic reaction are most frequently mentioned to be a trigger for Kounis syndrome.  We present a case of acute myocardial infarction associated with an allergic reaction after a honeybee sting, in an 79-year-old Serbian male.

 

Reference

Kounis NG, Zavras GM. Histamine-induced coronary artery spasm: the concept of allergic angina. Br J Clin Pract. 1991; 45: 121-8.

Kovanen PT, Kaartinen M, Paavonen T. Infiltrates of activated mast cells at the site of coronary atheromatous erosion or rupture in myocardial infarction. Circulation 1995;92:1083–1088

Constantinides P. Infiltrates of activated mast cells at the site of coronary atheromatous erosion or rupture in myocardial infarction. Circulatory 1995;92:1083

Braunwald E. Unstable angina: an etiologic approach to management. Circulation.1998; 98: 2219-22.

Zdravkovic V, Pantovic S, Rosic G, Tomic-Lucic A, Zdravkovic N, et al. Histamine blood concentration in ischaemic heart disease patients. J Biomed Biotechnol. 2011; http://dx.doi.org/10.1155/2011/315709

Kounis Ng. Kounis syndrome (allergic angina and allergic myocardial infarction): A natural paradigm? Int J Cardiology. 2006; 110: 7-14.

Cepeda PR, Herrejon EP, Rodriguez Aguirregabiria MM. Kounis syndrome. Med Intensiva. 2012; 36 (5): 358-364.

Biteker M, Duran NE, Biteker F. Kounis síndrome: first series in Turkish patients. Anadolu Kardiyol Derg. 2009; 9: 59-60.

Nikolaidis LA, Kounis NG, Gradman AH. Allergic angina and allergic myocardial infarction: a new twist on an old síndrome. Can J Cardiol. 2002; 18: 508-51.

Chen JP, Hou D, Pendyala L, Goudevenos JA, Kounis NG. Drug-eluting stent thrombosis: the Kounis hypersensitivity-associated acute coronary syndrome revisited. JACC Cardiovasc Interv. 2009; 2: 583-93.

Lopez PR, Peiris AN. Kounis syndrome. South Med J. 2010; 103: 1148-55.

Puttegowda B, Chikkabasavaiah N, Basavappa R, Khateeb ST. Acute myocardial infarction following honeybee sting. BMJ Case Rep. 2014; Apr 12; 2014: pii: bcr2014203832. doi: 10.1136/bcr-2014-203832 (http://www.ncbi.nlm.nih.gov/pubmed/24729117)

Yang HP, Chen FC, Chen CC, Shen Ty, Wu SP, Tseng YZ. Manifestations mimicking acute myocardial infarction after honeybee sting. Acta Cardiol Sin. 2009; 25: 31-35.

Objavljeno
2015/09/28
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