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Acta Médica Peruana

On-line version ISSN 1728-5917


MENDEZ-BETANCOURT, Johan L; RAMIREZ-RAMOS, Cristhian F; LOPEZ-GUEVARA, Oscar A  and  OSORIO-CARMONA, Hugo E. Kounis syndrome, apropos of a case. Acta méd. Peru [online]. 2018, vol.35, n.1, pp.65-70. ISSN 1728-5917.

Kounis syndrome is defined as an acute coronary syndrome secondary to an allergic response; and it is also known as allergic angina - acute myocardial infarction. There is little data on the epidemiology of this disease because of having been recently described. We present the case of a 46-year old woman who developed an episode of colicky abdominal pain in the right upper quadrant for 4 days, and a diagnosis of abdominal pain of biliary origin was considered. Fifteen minutes after symptomatic therapy was administered (hyoscine and metamizole), the patient developed sudden chest pain. Physical examination revealed hypotension, tachycardia, rash, and wheezing. The electrocardiogram showed ST segment depression. The case was managed as an acute coronary syndrome, vital support and steroids were part of its management, and the patient was admitted in the intensive care unit for coronary monitoring. A few days later, the patient was uneventfully discharged

Keywords : Coronary vasospasm; Allergic reaction; Cardiovascular diseases.

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