Open AccessKounis syndrome – an unusual etiology of acute myocardial infarction
Author(s) -
Влад Батайла,
Bucureşti Spitalul Clinic de Urgenţă,
Aura Vîjîiac,
Lucian Câlmâc,
Maria Dorobanțu,
Bucureşti Universitatea de Medicină și Farmacie „Carol Davila“
Publication year - 2015
Publication title -
romanian journal of medical practice
Language(s) - English
Resource type - Journals
eISSN - 2069-6108
pISSN - 1842-8258
DOI - 10.37897/rjmp.2015.3.15
Subject(s) - kounis syndrome , medicine , cardiology , acute coronary syndrome , emergency department , myocardial infarction , etiology , anaphylaxis , coronary angiography , allergy , psychiatry , immunology
Kounis syndrome is defined as an association between an acute coronary syndrome and acute systemic allergy involving vasoactive mediators released during the activation of the mast cells. A 79 year old woman arrives at the emergency department with syncope; she was stung by a wasp an hour before symptoms’ onset. Clinical examination was normal, excepet her left upper limb which had important edema. The ECG revealed ST-segment elevation in the inferior leads and negative T waves in the anterior leads. Emergency coronary angiography was performed, which revealed a 40% stenotic plaque on the mid LAD. A conservative approach was decided. The patient received standard anti-ischemic treatment and she was safely discharged after 6 days. We considered this case a Kounis syndrome induced by a wasp sting associated with a silent inferior myocardial infarction.