ArticleWiener klinische Wochenschrift2017
Acute myocardial infarction in a patient suffering from penicillin-induced laryngeal edema : Kounis syndrome aggravated by adrenaline.
Article in Wiener klinische Wochenschrift, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 11 citations in OpenAlex.
- Kounis Syndrome in the Modern Era: A Comprehensive Review of Allergic Acute Coronary Syndromes.Journal of clinical medicine · 2026Review
- Article
- Article
- Frequency of cardiotoxicity following intramuscular administration of epinephrine in emergency department patients with anaphylaxis.Journal of the American College of Emergency Physicians open · 2024Article
- Kounis Syndrome: Review of Clinical Cases.Cardiovascular & hematological disorders drug targets · 2024Review
- In-hospital outcome of primary PCI for patients with acute myocardial infarction and prior coronary artery bypass grafting.Journal of thoracic disease · 2021Article
- Angina after anaphylaxis treatment.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2019Article
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
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Abstract
Kounis syndrome or allergic angina is defined as the coincidental occurrence of chest pain and allergic reactions accompanied by clinical and laboratory findings of classical angina pectoris. It is triggered by the action of potent vasoactive and inflammatory mediators, which are released from the mast cells during the allergic reaction. Epinephrine is a life-saving medication in anaphylaxis; however, it can aggravate ischemia and induce coronary vasospasm and arrhythmias. Here, we present a patient with Kounis syndrome that was caused by intramuscular injection of procaine penicillin G, and in whom epinephrine administration for treatment of laryngeal edema had provoked severe myocardial ischemia.
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