Evidence map›Paper›PMID 32191668›Full record

ArticleActa bio-medica : Atenei Parmensis2020

Anaphylactic cardiovascular collapse manifesting as myocardial infarction following salad consumption. A case of Kounis variant type I syndrome.

Sophia Vaina, Christina Chrysohoou, Laura Bonfanti, Nicholas George Kounis, Gianfranco Cervellin, Georgios Georgiopoulos, Dimitris Tousoulis

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In one paragraph

Article in Acta bio-medica : Atenei Parmensis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 36% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Sophia Vainafirst Department of Cardiology, Hippokration Hospital, Athens medical School, Athens, Greece. sophiavaina@hotmail.com.
Christina Chrysohooufirst Department of Cardiology, Hippokration Hospital, Athens medical School, Athens, Greece. chrysohoou@usa.net.
Laura BonfantiEmergency Department. Academic Hospital of Parma, Italy. labonfanti@ao.pr.it.
Nicholas George KounisDepartment of Cardiology, University of Patras, School of Medicine, Patras, Greece. nkounis@otenet.gr.
Gianfranco CervellinUniversity Hospital of Parma, Italy. gcervellin@ao.pr.it.
Georgios Georgiopoulosfirst Department of Cardiology, Hippokration Hospital, Athens medical School, Athens, Greece. georgiopoulosgeorgios@gmail.com.
Dimitris Tousoulisfirst Department of Cardiology, Hippokration Hospital, Athens medical School, Athens, Greece. drtousolis@hotmail.com.
Hippocration General Hospital · GRUniversity of Parma · ITUniversity of Patras · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anaphylactic cardiovascular events constitute an underrated cause of medical emergencies in hospitalized patients. Coronary arteries and myocardium are targeted by anaphylactic mediators leading to acute coronary syndrome and imminent cardiovascular collapse. Early diagnosis and high clinical suspicion are required to secure prompt life-saving treatment in these cases. However, physicians of both Cardiology and Internal Medicine Departments are not familiar with this condition. Recently, we diagnosed and treated a case of anaphylactic cardiovascular collapse manifesting as acute myocardial infarction following salad consumption. Notably, Kounis anaphylaxis-associated acute coronary syndrome is a rare cause of ST segment elevation myocardial infarction with normal or diseased coronary arteries. We recommend that Kounis syndrome and its variants should be taken into consideration in the differential diagnosis of ischemic heart disease in patients with signs of allergic reaction and/or medical history of previous allergic reactions, who experience acute coronary syndrome after exposure to certain environmental stimuli.

Indexed as

AnaphylaxisDiagnosis, DifferentialElectrocardiographyFemaleHumansKounis SyndromeMiddle AgedMyocardial InfarctionSalads

Identifiers

PMID32191668
PMCPMC7569581
OpenAlexW3011964329

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.