Xu Zhanwen, Han Zhe
Affiliated Hospital of Hebei University, Baoding, Hebei, China.
Department of Cardiology, Affiliated Hospital of Hebei University, Baoding, Hebei, China.
Cardiol Young. 2024 Oct;34(10):2236-2239. doi: 10.1017/S1047951124025125. Epub 2024 Nov 26.
This case report discusses a rare occurrence of type II Kounis syndrome, characterised by an acute myocardial infarction triggered by an allergic reaction. The patient, a young adult male, experienced urticaria soon after eating oysters, which quickly escalated to severe chest discomfort. Despite lacking typical cardiac risk factors, the electrocardiogram showed indications of ST-elevation myocardial infarction. This condition was further complicated by ventricular fibrillation, necessitating urgent life-saving measures. This case demonstrates the intricate and often overlooked relationship between hypersensitivity reactions and cardiovascular events. It highlights the necessity for increased vigilance and rapid diagnostic and treatment approaches in handling Kounis Syndrome, especially in emergency situations. The case underscores the importance of considering allergic causes in acute cardiac scenarios, particularly in patients who do not have standard risk factors for coronary artery disease.
本病例报告讨论了一例罕见的II型库尼斯综合征,其特征为过敏反应引发急性心肌梗死。患者为一名年轻成年男性,食用牡蛎后不久出现荨麻疹,随后迅速发展为严重的胸部不适。尽管缺乏典型的心脏危险因素,但心电图显示有ST段抬高型心肌梗死的迹象。该病情因室颤而进一步复杂化,需要采取紧急救生措施。本病例证明了过敏反应与心血管事件之间复杂且常被忽视的关系。它强调了在处理库尼斯综合征时提高警惕以及采用快速诊断和治疗方法的必要性,尤其是在紧急情况下。该病例强调了在急性心脏情况中考虑过敏原因的重要性,特别是在没有冠状动脉疾病标准危险因素的患者中。