黄蜂蜇伤后无结构病变的ST段抬高型心肌梗死
ST elevation myocardial infarction with no structural lesions after a wasp sting.
作者信息
Rekik Sofiene, Andrieu Stephane, Aboukhoudir Falah, Barnay Pierre, Quaino Gonzalo, Pansieri Michel, Hirsch Jean Lou
机构信息
Cardiology Department, Avignon Hospital Center, Avignon, France.
出版信息
J Emerg Med. 2012 Apr;42(4):e73-5. doi: 10.1016/j.jemermed.2009.02.019. Epub 2009 Mar 27.
BACKGROUND
Acute coronary syndromes after hymenoptera stings and other environmental exposures are referred to as the Kounis syndrome or allergic myocardial ischemia and infarction.
CASE REPORT
We report the case of a 58-year-old man with transient inferior ST-segment elevation consistent with myocardial ischemia after a single wasp sting. Urgent cardiac catheterization revealed normal coronary arteries with a normal left ventriculogram. The evaluation and treatment of cardiac ischemia associated with an allergic reaction is discussed.
CONCLUSION
ST elevation myocardial infarction after wasp envenomation is an exceptional and interesting pathology with a partially elucidated pathogenesis. The management of cardiac ischemia in this setting is uncertain.
背景
膜翅目昆虫叮咬及其他环境暴露后发生的急性冠状动脉综合征被称为库尼斯综合征或过敏性心肌缺血和梗死。
病例报告
我们报告一例58岁男性，单次黄蜂叮咬后出现与心肌缺血相符的短暂下壁ST段抬高。紧急心脏导管检查显示冠状动脉正常，左心室造影正常。讨论了与过敏反应相关的心脏缺血的评估和治疗。
结论
黄蜂蜇伤后ST段抬高型心肌梗死是一种特殊且有趣的病理情况，其发病机制部分已阐明。这种情况下心脏缺血的管理尚不确定。
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