2007
DOI: 10.1016/j.ijcard.2006.08.039
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Hymenoptera sting-induced Kounis syndrome: Effects of aspirin and β-blocker administration

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Cited by 27 publications
(18 citation statements)
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References 27 publications
(26 reference statements)
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“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14] We present a case of recurrent acute myocardial infarction associated with an allergic reaction in an 83-year-old Italian woman. On July 1, 2008, an 83-year-old Italian woman was admitted to the emergency department with chest pain.…”
Section: Case Reportmentioning
confidence: 98%
“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14] We present a case of recurrent acute myocardial infarction associated with an allergic reaction in an 83-year-old Italian woman. On July 1, 2008, an 83-year-old Italian woman was admitted to the emergency department with chest pain.…”
Section: Case Reportmentioning
confidence: 98%
“…serum sickness, cerebral infarction, diffuse alveolar hemorrhage, rhabdomyolysis, glomerulonephritis, acute renal failure, thrombocytopenic purpura, vasculitis and dissiminated intravascular coagulation (DIC) [1, 2]. Myocardial infarctions after insect stings are very rarely reported in the literature [3–5]. Most of acute coronary syndromes occur with ST segment elevation [3, 5, 6].…”
Section: Discussionmentioning
confidence: 99%
“…Type I variant of this syndrome [6] is referred to patients with normal coronary arteries without predisposing factors for coronary artery disease in whom the acute release of inflammatory mediators can induce either coronary artery spasm without increase of cardiac enzymes and troponins or coronary artery spasm progressing to acute myocardial infarction with raised cardiac enzymes and troponins. On the contrary, type II variant [7] includes patients with culprit but quiescent pre-existing atheromatous disease in whom the acute release of inflammatory mediators can induce either coronary artery spasm with normal cardiac enzymes and troponins or plaque erosion or rupture manifesting as acute myocardial infarction.…”
Section: Discussionmentioning
confidence: 99%