Document Detail


Coronary vasospasm secondary to allergic reaction following food ingestion: a case of type I variant Kounis syndrome.
MedLine Citation:
PMID:  20512455     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Coronary vasospasm can be induced by allergic reactions with some chemical mediators, and the angina and myocardial infarction secondary to allergy-induced coronary vasospasm are referred to as "Kounis syndrome." Only two cases of Kounis syndrome following food ingestion have been reported. However, they had pre-existing atheromatous coronary artery disease, and no provocation test to induce coronary vasospasm was done. We describe here another probable case of allergic vasospasm after food intake. To the best of our knowledge, this is the first documented report of a patient with food-induced allergic vasospasm subsequent to the provocation test with ergometrine maleate.
Authors:
Tadashi Wada; Mitsuru Abe; Nobuhito Yagi; Nobuaki Kokubu; Yoichiro Kasahara; Yu Kataoka; Yoritaka Otsuka; Yoichi Goto; Hiroshi Nonogi
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-05-29
Journal Detail:
Title:  Heart and vessels     Volume:  25     ISSN:  1615-2573     ISO Abbreviation:  Heart Vessels     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-05-31     Completed Date:  2010-09-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8511258     Medline TA:  Heart Vessels     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  263-6     Citation Subset:  IM    
Affiliation:
Division of Cardiology, National Cardiovascular Center, 5-7-1 Fujishirodai, Suita, Osaka 565-8565, Japan.
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MeSH Terms
Descriptor/Qualifier:
Aged
Coronary Angiography
Coronary Vasospasm / diagnosis,  etiology*
Electrocardiography
Ergonovine / diagnostic use
Female
Food Hypersensitivity / diagnosis,  etiology*
Humans
Shellfish / adverse effects*
Syndrome
Chemical
Reg. No./Substance:
60-79-7/Ergonovine

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