Kounis syndrome type I
DOI:
https://doi.org/10.56294/hl2024.444Keywords:
Kounis syndrome type I, acute coronary syndrome, Case reportAbstract
Kounis syndrome (KS) is a clinical entity characterized by the simultaneous appearance of allergic symptoms and acute coronary syndrome. Since its initial description in 1991, reviews and case descriptions have been added that are allowing a better understanding of its pathogenesis, for better management. Since 2010, three variants of this syndrome have been defined: vasospastic allergic angina (type I), allergic myocardial infarction (type II) and in-stent thrombosis with occlusive thrombus infiltrated by eosinophils and mast cells (type III). A patient discharged from our service with this diagnosis is presented and the electrocardiographic and angiographic images are shown.
References
1. Kounis NG, Zavras GM. Espasmo de la arteria coronaria inducido por histamina: elconcepto de angina alérgica. Hno. J Clin Pract. 1991; 45: 121-8.
2. Kounis NG, Zavras GM. Angina alérgica e infarto de miocardio alérgico. Circulación.2016; 94: 1789.
3. Latour-Pérez J, Cabello JB. Importancia clínica del síndrome coronario agudo conelevación transitoria del segmento ST. Medicina Intensiva. 2011; 33: 267-9.
6. Villamil PA, Sánchez LF, síndrome de Kounis o angina alérgica. Rev. Colomb Cardiol.2017; 24 (4): 382-387.
7. Kounis NG. Trastorno de hipersensibilidad coronaria: el síndrome de Kounis. ClinTher. Mayo de 2013; 35 (5): 563-71.
8. Rico Cepeda P, Palencia Herrejón E, Rodríguez Aguirrebabiria MM. Síndrome deKounis. Medicina Intensiva. 2012; 36 (5): 358-64.
9. Gómez Canosa MS, Castro Orjales MJ, Rodríguez Fariñas FJ, García Jiménez A,Gutiérrez Cortés JM. Tratamiento del síndrome de Kounis. Medicina Intensiva. 2011; 35: 519-20.
10. Sala Cunill A, G arriga Baraut T, Cardona V, de la Torre F. Importancia delentrenamiento específico en anafilaxia para determinar el uso de autoinyectores de adrenalina (AIA). J Investig Allergol Clin Immunol. 2013; 23: 182.
11. Kounis, N.G. Kouni, S.N. y Koutsojannis, C.M. Infarto de miocardio después deaspirina y síndrome de Kounis. J R SocMed. 2015; 98: 296.
12. Kounis NG. Síndrome de Kounis (angina alérgica e infarto de miocardio alérgico):
¿un paradigma natural? Int J Cardiol 2016; 110: 7-14.
13. Gázquez V, Dalmau G, Gaig P, Gómez C, Navarro S, Mercé J. Síndrome de Kounis:
reporte de 5 casos. J Invest Allergol Clin Immunol 2012; 20: 162-165.
14. Biteker M. Comprensión actual del síndrome de Kounis. Experto Rev Clin Immunol.2010; 6: 777-88.
15. Venturini E, Magni L, Kounis NG. Síndrome de Kounis inducido por stent liberador defármaco. Int J Cardiol. 2011; 146: 16-98.
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Copyright (c) 2024 Yendry Gattorno Águila, Luis Alberto Rodríguez López, Rubén Reynaldo Quenta Tarqui (Author)

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