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过敏性急性冠状动脉综合征-库尼兹综合征。

Allergic Acute Coronary Syndrome-Kounis Syndrome.

机构信息

Department of Emergency Medicine, University of Maryland School of Medicine, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA. Electronic address: https://twitter.com/LeenAlblaihed.

Department of Emergency Medicine, University of Maryland School of Medicine, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA; Department of Emergency Medicine, Diakonessenhuis Utrecht, Bosboomlaan 1, 3582 KE Utrecht, the Netherlands.

出版信息

Immunol Allergy Clin North Am. 2023 Aug;43(3):503-512. doi: 10.1016/j.iac.2022.10.010.

Abstract

Acute coronary syndrome (ACS) in the setting of an allergic/immunologic reaction is known as Kounis syndrome. It is an underdiagnosed and underrecognized disease entity. One must keep a high index of suspicions when managing a patient presenting with cardiac as well as allergic symptoms. There are 3 main variants to the syndrome. Treating the allergic reaction may alleviate the pain; however, ACS guidelines should be followed if cardiac ischemia is present.

摘要

变应性/免疫性反应相关的急性冠状动脉综合征(ACS)被称为 Kounis 综合征。它是一种诊断不足且认识不足的疾病实体。在处理伴有心脏和过敏症状的患者时,必须保持高度怀疑。该综合征有 3 种主要类型。治疗过敏反应可能会缓解疼痛;然而,如果存在心肌缺血,则应遵循 ACS 指南。

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