Coronary spasm associated with urticaria: Report of a case mimicking anaphylaxis | Zendy

Bristow M. R. | Zendy; Ginsburg R. | Zendy; Kantrowitz N. E. | Zendy; Baim D.S. | Zendy; Rosenbaum J. T. | Zendy

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Coronary spasm associated with urticaria: Report of a case mimicking anaphylaxis

Author(s) -

Bristow M. R.,

Ginsburg R.,

Kantrowitz N. E.,

Baim D.S.,

Rosenbaum J. T.

Publication year - 1982

Publication title -

clinical cardiology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.263

H-Index - 72

eISSN - 1932-8737

pISSN - 0160-9289

DOI - 10.1002/clc.4960050307

Subject(s) - medicine , anaphylaxis , vasoactive , histamine , kounis syndrome , coronary vasospasm , ergonovine , artery , cardiology , platelet aggregation , thromboxane a2 , allergy , aspirin , anesthesia , platelet , myocardial infarction , coronary angiography , angina , immunology

Recent investigations suggest that the vasoactive substances, histamine, prostaglandin E 2 , and thromboxane A 2 are mediators of coronary artery spasm. These substances may be released during an episode of urticaria. We report here a case of coronary artery spasm associated with an episode of acute urticaria. The coronary spasm may have been mediated by the vasoactive substances released from basophils and secondary platelet aggregation, known to occur with urticaria.

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