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Case Reports
. 2013 Jul;31(7):1157.e1-3.
doi: 10.1016/j.ajem.2013.03.025. Epub 2013 May 21.

Cardiac anaphylaxis: a case of acute ST-segment elevation myocardial infarction after IM epinephrine for anaphylactic shock

Karthik Tummala  1 , Vijay K Maniyal, Rajiv Chandrashekaran, Navin Mathew, Gaurav Ganeshwala
Affiliations
Case Reports

Cardiac anaphylaxis: a case of acute ST-segment elevation myocardial infarction after IM epinephrine for anaphylactic shock

Karthik Tummala et al. Am J Emerg Med. 2013 Jul.

Abstract

A 62-year-old male smoker with no other comorbidities presented to emergency department with systemic anaphylaxis, due to oral diclofenac for toothache. He developed acute anterior wall myocardial infarction following IM epinephrine 1 mg 1:1000. Primary percutaneous coronary intervention was done, which showed a thrombus in the mid left anterior descending artery with no evidence of obstructive coronary artery disease after thrombus aspiration.

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Comment in

  • Cardiac anaphylaxis: searching for clarity.
    Senthilkumaran S, Menezes RG, Ibrahim SM, Thirumalaikolundusubramanian P. Senthilkumaran S, et al. Am J Emerg Med. 2014 Jan;32(1):86. doi: 10.1016/j.ajem.2013.08.058. Epub 2013 Oct 4. Am J Emerg Med. 2014. PMID: 24094863 No abstract available.
  • Reply to the letter to the editor.
    Tummala K, Maniyal VK. Tummala K, et al. Am J Emerg Med. 2014 Jan;32(1):86-7. doi: 10.1016/j.ajem.2013.08.059. Epub 2013 Oct 28. Am J Emerg Med. 2014. PMID: 24176589 No abstract available.

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