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1. Kounis Syndrome Leading to Cardiac Arrest After Iodinated Contrast Exposure

Author

Anthony R. Prisco, MD, PhD, Jason Allen, MD, Alejandra Gutierrez, MD, Alexander Zanotto, MD, Demetris Yannopoulos, MD, Jeremy Markowitz, MD, and Jason A. Bartos, MD, PhD

Subjects
allergic reaction, anaphylaxis, Kounis syndrome, PEA arrest, Diseases of the circulatory (Cardiovascular) system, RC666-701
Abstract

Immune-mediated coronary spasm, called Kounis syndrome (KS), is not rare but is underdiagnosed. In this report, we present a case of KS induced by iodinated contrast resulting in cardiac arrest, requiring temporary mechanical circulatory support. We show angiographic evidence of KS and outline commonly associated clinical features that may predict KS. (Level of Difficulty: Beginner.)

Published
2020
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