变应性心肌梗死（库恩斯综合征）——奥耐普妥造影剂后非 ST 段抬高型心肌梗死。
Allergic myocardial infarction (Kounis Syndrome)- non-ST elevation MI following Omnipaque contrast.
机构信息
Department of Emergency Medicine, Virginia Commonwealth University, Richmond, VA, United States of America.
Department of Allergy and Immunology, Virginia Commonwealth University, Richmond, VA, United States of America.
出版信息
Am J Emerg Med. 2023 May;67:197.e3-197.e5. doi: 10.1016/j.ajem.2023.03.002. Epub 2023 Mar 7.
Kounis Syndrome is an acute coronary syndrome in the setting of mast cell activation. Mast cell activation can be due to anaphylaxis, anaphylactoid reaction, allergies, or hypersensitivities. Three reported variants of Kounis Syndrome include: vasospastic allergic angina, allergic myocardial infarction, and stent thrombosis. Herein, we described a case of Type 2 Kounis Syndrome following iodinated contrast infusion for a fistulogram, which manifested as a rare non-ST elevation myocardial infarction (NSTEMI).
Kounis 综合征是一种在肥大细胞激活情况下发生的急性冠状动脉综合征。肥大细胞激活可能由过敏反应、类过敏反应、过敏或超敏反应引起。Kounis 综合征有三种已知的类型，包括：血管痉挛性过敏性心绞痛、过敏性心肌梗死和支架血栓形成。在此，我们描述了一例在瘘管造影中使用碘造影剂输注后发生的 2 型 Kounis 综合征，表现为一种罕见的非 ST 段抬高型心肌梗死（NSTEMI）。
Zotero 插件