Document Detail


Late stent thrombosis after wasp sting.
MedLine Citation:
PMID:  23363947     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Myocardial infarction (MI) following a bee sting is a highly unusual reaction. A 65-year-old man allergic to honeybee venom was admitted to the emergency department suffering from a wasp sting with urticaria. The patient had a history of bare metal stent (BMS) 9 months previously with regular drug use. He experienced chest pain after the sting and electrocardiography revealed ST-segment elevation in the chest leads. Subsequently, the patient developed ventricular tachycardia disrupting hemodynamics. Sinus rhythm was obtained by cardioversion. Coronary angiogram revealed total stent thrombosis (ST) in the midportion of the left anterior descending coronary artery. Primary coronary intervention was successfully performed. Presence of shared pathways in allergic reaction and MI pathogenesis may be responsible for de novo or ST. To our knownledge, this is the first case of total occlusive late ST in BMS following a wasp sting.
Authors:
Turgay Işık; Ibrahim Halil Tanboğa; Erkan Ayhan; Hüseyin Uyarel
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Türk Kardiyoloji Derneği arşivi : Türk Kardiyoloji Derneğinin yayın organıdır     Volume:  40     ISSN:  1016-5169     ISO Abbreviation:  Turk Kardiyol Dern Ars     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2013-01-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9426239     Medline TA:  Turk Kardiyol Dern Ars     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  620-2     Citation Subset:  IM    
Affiliation:
Department Cardiology, Balıkesir University Faculty of Medicine, Balıkesir, Turkey. isikturgay@yahoo.com.
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