Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2012 Jan-Jun;6(1):98-100.
doi: 10.4103/0259-1162.103388.

Allergic myocardial ischemia causing reversible hemodynamic collapse during gastroscopy

Omar Itani  1 , Mohammad Jazzar  1 , Rola Hammoud  1 , Mireille Azar  1 , Jamil Shaaban  1
Affiliations
Case Reports

Allergic myocardial ischemia causing reversible hemodynamic collapse during gastroscopy

Omar Itani et al. Anesth Essays Res. 2012 Jan-Jun.

Abstract

This case report details the development of an acute heart dysfunction during gastroscopy under sedation in a patient with normal coronary arteries. The early diagnosis by echocardiography and aggressive management allowed us to prevent a serious and fatal outcome. We spot on the diagnosis of allergic cardiogenic shock based on our clinical and laboratory finding.

Keywords: Cardiogenic shock; coronary vasospasm; kounis syndrome.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: None declared.

Similar articles

See all similar articles

Cited by

  • Kounis Syndrome: Review of Clinical Cases.
    Yakushin S, Gurbanova A, Pereverzeva K. Yakushin S, et al. Cardiovasc Hematol Disord Drug Targets. 2024;24(2):83-97. doi: 10.2174/011871529X305833240708051508. Cardiovasc Hematol Disord Drug Targets. 2024. PMID: 39021170 Review.

References

    1. Kounis NG, Zavaras GM. Histamine-induced coronary artery spasm: The concept of allergic angina. Br J Clin Pract. 1991;45:121–8. - PubMed
    1. Candace L, Kevin BW, John LR. Reversible biventricular dysfunction secondary to ischemia in a patient with acute airway obstruction: A case report and review of the literature on reversible causes of acute ventricular dysfunction. Can J Cardiol. 1999;15:705–8. - PubMed
    1. Dargie H. Heart failure post-myocardial infarction: a review of the issues. Heart. 2005;919(Suppl 2):ii3–6. discussion ii31, ii43-8. - PMC - PubMed
    1. Freedman RJ, Fuentes F, Smalling RW. Left coronary artery spasm causing severe left ventricular dysfunction without myocardial dysfunction. Texas Heart Institute J. 1986;13:223–31. - PMC - PubMed
    1. Chong WS, Jung JH, Lee SH. Acute myocardial infarction due to vasospasm induced by prostaglandin. Can J Cardiol. 2009;25:e359–60. - PMC - PubMed

Publication types