ArticleCase reports in emergency medicine2020
Two Cardiac Arrests that Occurred after the Administration of Sugammadex: A Case of Kounis Syndrome.
Article in Case reports in emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 20 citations in OpenAlex.
- Kounis Syndrome in the Modern Era: A Comprehensive Review of Allergic Acute Coronary Syndromes.Journal of clinical medicine · 2026Review
- Remote diffuse multi-coronary artery spasm following pulmonary vein and posterior wall isolation, using a focal monopolar pulsed field ablation catheter.HeartRhythm case reports · 2025Article
- Article
- Comment on "Cardiac arrest due to coronary vasospasm after sugammadex administration -a case report-".Korean journal of anesthesiology · 2025Article
- Review
- Kounis Syndrome: Review of Clinical Cases.Cardiovascular & hematological disorders drug targets · 2024Review
- Asystolic cardiac arrest secondary to sugammadex administration in a young patient.Anaesthesiology intensive therapy · 2024Article
- Article
- Cardiac arrest due to coronary vasospasm after sugammadex administration -a case report.Korean journal of anesthesiology · 2023Article
- Reply to Sagliocco, O.; Betelli, M. Comment on "Fierro et al. Severe Hypotension, Bradycardia and Asystole after Sugammadex Administration in an Elderly Patient.Medicina (Kaunas, Lithuania) · 2022Article
- Comment on Fierro et al. Severe Hypotension, Bradycardia and Asystole after Sugammadex Administration in an Elderly Patient.Medicina (Kaunas, Lithuania) · 2022Article
- Severe Hypotension, Bradycardia and Asystole after Sugammadex Administration in an Elderly Patient.Medicina (Kaunas, Lithuania) · 2021Article
- Sugammadex-induced atropine-resistant bradycardia: clinical, pathophysiologic, and electrocardiographic considerations.JA clinical reports · 2020Article
- Sugammadex-induced anaphylactic reaction: A systematic review.Journal of anaesthesiology, clinical pharmacologyReview
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Kounis syndrome is a form of acute coronary syndrome caused by allergic reactions. No cases of cardiac arrest caused by Kounis syndrome that arose after the administration of sugammadex have been reported. A 71-year-old female suffered two cardiac arrests. The first occurred after sugammadex was administered at the end of an operation for a right radial distal fracture. The patient was resuscitated and transferred to our intensive care unit. She was subsequently discharged home. Five months later, she suffered a second cardiac arrest after sugammadex was administered at the end of an operation for a right femoral neck fracture at our hospital. Urgent coronary angiography revealed multiple coronary spasms. Kounis syndrome was diagnosed based on the patient's elevated serum trypsin levels and a positive result in a skin allergy test of sugammadex. In cases of cardiac arrest with unclear etiologies, Kounis syndrome should be considered.
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