Kounis syndrome - allergic myocardial infarction. a case report
| Autor: | Olga Wajtryt, Aleksandra Kaszyńska, Katarzyna Życińska, Tadeusz M Zielonka, Andrzej Falkowski |
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| Předmět: |
Male
medicine.medical_specialty Acute coronary syndrome Allergy Myocardial Infarction Kounis syndrome Tryptase 030204 cardiovascular system & hematology Immunoglobulin E 03 medical and health sciences 0302 clinical medicine Kounis Syndrome 030202 anesthesiology Food allergy Internal medicine medicine Humans Myocardial infarction Acute Coronary Syndrome Anaphylaxis biology business.industry food and beverages General Medicine medicine.disease Troponin Hospitalization biology.protein Cardiology Nut Hypersensitivity business |
| Zdroj: | Scopus-Elsevier |
| Popis: | Kounis syndrome or allergic myocardial infarction is an acute coronary syndrome in the course of an allergic reaction. In allergic patients in response to a specific condition - nourishment, inhalation, environmental substances, drug or insect bite there is an allergic reaction involving many different cells and mediators that can cause coronary artery spasm or initiate the process of rupture and activation of atherosclerotic plaque resulting in acute coronary syndrome. The paper describes a case of a young man with allergy to pollen and confirmed sensitization to nuts, who developed a full-blown anaphylactic shock after eating the nut mix and experienced a rapidly passing acute coronary syndrome with troponin up to 4.7 μg/L. An increased concentration of tryptase (15 μg/L), total IgE (> 3,000 IU/mL) and specific anti-nut IgE (55.1 kUA/L) were found. Based on the course of the disease and the results of allergic and cardiac tests, allergic type 1 myocardial infarction, i.e. caused by coronary artery spasm, was diagnosed. During the hospitalization, the patient’s condition improved quickly and after a few days he left the hospital without the signs of permanent damage to the heart muscle. |
| Databáze: | OpenAIRE |
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