Bianco Matteo, Lario Chiara, Destefanis Paola, Luciano Alessia, Cerrato Enrico, Gravinese Carol, Cirillo Stefano, Pozzi Roberto
Divisione di Cardiologia, A.O.U. San Luigi Gonzaga, Orbassano (TO).
S.C. Radiodiagnostica, Ospedale Mauriziano, Torino.
G Ital Cardiol (Rome). 2018 Apr;19(4):242-245. doi: 10.1714/2898.29219.
The presence of an acute coronary syndrome in patients with anaphylaxis is a challenging diagnostic conundrum for the cardiologist. Both Kounis syndrome and takotsubo syndrome must be taken into account. We present here the case of a 46-year-old woman suffering from ventricular fibrillation after adrenaline infusion for an anaphylactic reaction. The case report shows the important role of a clear diagnostic work-up and the role of cardiac magnetic resonance in this clinical scenario to reach the final diagnosis of reverse takotsubo cardiomyopathy.
对于心脏病专家而言，过敏反应患者出现急性冠状动脉综合征是一个具有挑战性的诊断难题。必须考虑到库尼斯综合征和应激性心肌病。我们在此呈现一名46岁女性的病例，该患者在因过敏反应输注肾上腺素后发生心室颤动。该病例报告显示了明确的诊断检查的重要作用以及心脏磁共振在这种临床情况下对于最终诊断为反向应激性心肌病的作用。
