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Article ; Online: Allergic recurrent coronary stent thrombosis: A mini-review of Kounis syndrome.

Ferreira, Roberto M / Villela, Paolo B / Almeida, Juliano C G / Sampaio, Pedro Paulo N / Albuquerque, Felipe N / Pinheiro, Fernanda M C / França Filho, William / Salles, José Ary B E / Mansur Filho, João

Cardiovascular revascularization medicine : including molecular interventions

2018  Volume 19, Issue 7 Pt B, Page(s) 890–895

Abstract: Kounis syndrome (KS) consists of an association between hypersensitivity reactions triggered by various environmental and pharmacological factors and acute coronary syndromes. Blood supply may be compromised by either vasospasm (type I), native plaque ... ...

Abstract Kounis syndrome (KS) consists of an association between hypersensitivity reactions triggered by various environmental and pharmacological factors and acute coronary syndromes. Blood supply may be compromised by either vasospasm (type I), native plaque destabilization (type II) or stent thrombosis (type III). Although the prognosis is generally favorable, treatment should include aggressive anti-thrombotic and anti-allergic therapies. A case compatible with type III KS, manifested as a macular rash followed by two episodes of stent thrombosis after primary angioplasty (PCI) of the right coronary artery is presented, and complemented by a review on the topic.
MeSH term(s) Anti-Allergic Agents/therapeutic use ; Coronary Angiography ; Coronary Thrombosis/diagnostic imaging ; Coronary Thrombosis/drug therapy ; Coronary Thrombosis/etiology ; Coronary Thrombosis/immunology ; Electrocardiography ; Fibrinolytic Agents/therapeutic use ; Humans ; Kounis Syndrome/diagnostic imaging ; Kounis Syndrome/drug therapy ; Kounis Syndrome/etiology ; Kounis Syndrome/immunology ; Male ; Middle Aged ; Percutaneous Coronary Intervention/adverse effects ; Percutaneous Coronary Intervention/instrumentation ; Recurrence ; Stents/adverse effects ; Treatment Outcome
Chemical Substances Anti-Allergic Agents ; Fibrinolytic Agents
Language English
Publishing date 2018-03-13
Publishing country United States
Document type Case Reports ; Journal Article ; Review
ZDB-ID 2212113-4
ISSN 1878-0938 ; 1553-8389
ISSN (online) 1878-0938
ISSN 1553-8389
DOI 10.1016/j.carrev.2018.03.001
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