Evidence map›Paper›PMID 42667031›Full record

ArticleCureus2026

ST-Segment Elevation Myocardial Infarction (STEMI) With a Fishy Twist: A Case of Kounis Syndrome Following Seafood Ingestion.

Sophie R Fisher, Aiden M Van Loo, Athanasios Rempakos, Steven B Timmis

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

4 authors.

Sophie R FisherMedicine, Oakland University William Beaumont School of Medicine, Rochester, USA.
Aiden M Van LooInternal Medicine, Corewell Health William Beaumont University Hospital, Royal Oak, USA.
Athanasios RempakosInternal Medicine, Corewell Health William Beaumont University Hospital, Royal Oak, USA.
Steven B TimmisCardiovascular Medicine, Corewell Health William Beaumont University Hospital, Royal Oak, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Kounis syndrome is an underrecognized condition characterized by the concurrence of acute coronary syndrome (ACS) and a hypersensitivity reaction mediated by mast cell activation. Diagnosis can be challenging, and treatments for anaphylaxis and ACS may have competing effects. We report a case of a 58-year-old male who presented with anaphylaxis after seafood ingestion, complicated by anterior ST-segment elevation myocardial infarction (STEMI). Coronary angiography revealed plaque rupture with thrombus in the mid-left anterior descending artery, consistent with type II Kounis syndrome. This case highlights the importance of early recognition and management to balance treatment of both allergic and ischemic processes.

Indexed as

allergy and anaphylaxiskounis case studykounis syndrome (ks)mi kounismyocardial infarctionpercutaneous coronary interventionst-elevation myocardial infarction (stemi)st-segment elevation myocardial infarction (stemi)type2 kounis

Identifiers

PMID42667031
PMCPMC13524374

What OpenQuestion holds

Textmetadata
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.