The association between acute cardiac events and acute allergic reactions has been long recognized. In 1950, the first case was reported during an allergic reaction to penicillin [1]. Kounis and Zavras described the syndrome of allergic angina and allergic myocardial infarction in the 1990s, now known as Kounis syndrome [2–5]. We report an unusual case to highlight the possible mechanisms of ST elevation and cardiac arrest secondary to anaphylaxis in the context of non-obstructive coronary artery disease.
Publication information
Shah G, Scadding G, Nguyen-Lu N, Wigmore T, Chenzbraun A, Wechalekar K, Sharma R, Lyon AR. Peri-operative cardiac arrest with ST elevation secondary to gelofusin anaphylaxis - Kounis syndrome in the anaesthetic room. Int J Cardiol. 2013 Apr 15;164(3):e22-6.