ArticleJournal of cardiology cases2022
Allergic myocardial infarction (type III Kounis syndrome) secondary to mushroom ingestion: An unusual cause of very late stent thrombosis of saphenous venous graft and refractory no-reflow phenomenon.
Article in Journal of cardiology cases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.
- Food-Associated Kounis Syndrome: Clinical Spectrum and Diagnostic Considerations from a Case Report and Systematic Qualitative Synthesis of Published Cases.Clinical reviews in allergy & immunology · 2026Pooled it
- Kounis Syndrome in the Modern Era: A Comprehensive Review of Allergic Acute Coronary Syndromes.Journal of clinical medicine · 2026Review
- Review
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The clinical presentation of myocardial injury associated with allergy responses is known in the cardiology literature as Kounis syndrome or allergic angina/myocardial infarction. An allergic acute coronary syndrome (ACS) may be caused by systemic increase of allergy mediators, or by local stimulation activating heart tissue mast cells (precipitating coronary spasm or generating plaque rupture and coronary or stent thrombosis). Acute allergic/anaphylactic reactions may cause ACS by directly affecting the heart and atherosclerotic plaque, or by exacerbating underlying illness. We present a case of a 67-year-old, Indian male, who had coronary artery bypass surgery and percutaneous coronary intervention and developed very late stent thrombosis of the saphenous venous graft as a result of an allergic response to mushrooms. Learning objectives: •A prototypical patient with Kounis syndrome who experienced allergy symptoms and myocardial ischemia after being exposed to a probable allergenic stimulus.•A link between Type III Kounis syndrome and drug-eluting stent thrombosis has recently been hypothesized.•Mast cells are plentiful in cardiac tissue and may lead to coronary artery/stent thrombosis.
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Registered trials
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.