A Case of Acute St-elevation Myocardial Infarction (STEMI)  Secondary to Anaphylactic Reaction: Type 2 Kounis Syndrome

Author: Toh Chong Rui ¹ ; Huzairi Sani ² ; Nada Syazana Zulkufli ³
Author Information

1. Medical department, Selayang Hospital, B21, Lebuhraya Selayang - Kepong, 68100 Batu Caves, Selangor, Malaysia
2. Cardiology unit, Medical Department, Faculty of Medicine, Universiti Teknologi MARA, Jalan Hospital, 47000 Sungai Buloh, Selangor
3. Pakar Klinikal Patologi Kimia, Jabatan Patologi, Hospital Pulau Pinang, Jalan Residensi, 10990 George Town, Pulau Pinang
Publication Type:Case Reports
Keywords: Kounis syndrome, Anaphylaxis, Acute coronary syndrome
From:Malaysian Journal of Medicine and Health Sciences 2021;17(No.2):314-316
CountryMalaysia
Language:English
Abstract: Kounis syndrome (KS) is defined as acute coronary syndrome (ACS) induced by coronary vasospasm associated with an anaphylactic reaction. This condition was described in 1991 by Kounis, detailing potential pathophysiological pathways for coronary spasm. We report a case of Type 2 KS – a patient with stented coronary artery disease who presented with ST-elevation myocardial infarction (STEMI) following intramuscular Diclofenac Sodium.
Full text:11.2021my1059.pdf