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造影剂过敏反应期间左前降支冠状动脉急性血栓形成

Acute Thrombosis of Left Anterior Descending Coronary Artery During Anaphylactic Reaction to Contrast Dye.

作者信息

Cox John, Clark Cali, Anderson Zachary

机构信息

Cardiology, Freeman Health System, Joplin, USA.

Internal Medicine, Freeman Health System, Joplin, USA.

出版信息

Cureus. 2022 Mar 31;14(3):e23679. doi: 10.7759/cureus.23679. eCollection 2022 Mar.

Abstract

Anaphylaxis is a systemic inflammatory response to an antigen and can result in hemodynamic compromise. While uncommon, it remains an important differential diagnosis in the setting of intraprocedural hypotension. Acute thrombosis has been associated with anaphylaxis and should be suspected based on clinical symptoms. We describe a clinical case of intraprocedural anaphylaxis secondary to intravenous contrast dye leading to hypotension and acute thrombosis of the left anterior descending coronary artery.

摘要

过敏反应是机体对抗原产生的全身性炎症反应,可导致血流动力学障碍。虽然不常见,但在术中低血压的情况下,它仍然是一个重要的鉴别诊断。急性血栓形成与过敏反应有关,应根据临床症状怀疑。我们描述了一例因静脉注射造影剂继发术中过敏反应导致低血压和左前降支冠状动脉急性血栓形成的临床病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12b1/9060749/bd377c320be8/cureus-0014-00000023679-i01.jpg

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