| Cardiac arrest secondary to type 2 Kounis syndrome resulting from urticaria and angioedema. | |
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MedLine Citation:
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PMID: 20472700 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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A 43-year-old man with no cardiac history presented with chest pain followed by cardiac arrest. He was successfully defibrillated and underwent primary percutaneous coronary angioplasty to a culprit coronary artery lesion. He later re-presented with a diffuse urticarial rash and lip swelling, reporting that these symptoms had been present for 4 weeks before his cardiac arrest and voicing concern that a further cardiac arrest may be imminent. A diagnosis of post-viral or idiopathic autoimmune urticaria and angioedema was made. Given the absence of cardiac symptoms before the development of the rash, it was hypothesised that coronary artery spasm precipitated by histamine release due to his dermatological condition contributed to his myocardial infarction and cardiac arrest. The final diagnosis was therefore cardiac arrest secondary to type II Kounis syndrome, resulting from idiopathic autoimmune or post-viral urticaria and angioedema. |
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Authors:
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Suzy Connor; Nick Child; David Burdon-Jones; Andrew Connor |
Publication Detail:
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Type: Journal Article Date: 2010-05-14 |
Journal Detail:
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Title: Emergency medicine journal : EMJ Volume: 27 ISSN: 1472-0213 ISO Abbreviation: Emerg Med J Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-06-29 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100963089 Medline TA: Emerg Med J Country: England |
Other Details:
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Languages: eng Pagination: 568-9 Citation Subset: IM |
Affiliation:
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Department of Emergency Medicine, Dorset County Hospital, Dorchester, Dorset, UK. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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