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Case Reports
. 2023 Jul 24;2(4):100152.
doi: 10.1016/j.jacig.2023.100152. eCollection 2023 Nov.

Kounis syndrome: ST elevations in the setting of anaphylaxis

Taylor Cesarz  1 , Latha Ganti  1
Affiliations
Case Reports

Kounis syndrome: ST elevations in the setting of anaphylaxis

Taylor Cesarz et al. J Allergy Clin Immunol Glob. .

Abstract

Acute coronary syndrome in the presence of an allergic reaction is known as Kounis syndrome, which is an underdiagnosed disorder and has nuances regarding management. We present a patient brought to the hospital as an ST segment elevation myocardial infarction (STEMI) alert in the setting of an allergic reaction triggered by food.

Keywords: Anaphylactic shock; Kounis syndrome; STEMI; angioedema.

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Figures

Fig 1
Fig 1
ECG taken on the patient's arrival at the hospital. ST elevations seen in leads V1 to V3.
Fig 2
Fig 2
Improvement noted in ST elevations. Almost complete resolution of ST elevations in leads V1 and V3, with minimal elevation present in lead V2. The patient no longer meets the ST segment elevation myocardial infarction (STEMI) criteria.
Fig 3
Fig 3
Case time line.
Fig. 4
Fig. 4
Further improvement in ST elevations on hospital day 1.
See this image and copyright information in PMC

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