[Acute myocardial infarction secondary to anaphylactic reaction following shellfish ingestion. The need for rescue coronary angioplasty].
During anaphylactic (or anaphylactoid) reactions severe cardiovascular events may occur, acute myocardial infarction among them. This etiology of myocardial infarction, is known, although it is infrequent and only sporadically reported in literature. A case of acute myocardial infarction secondary to anaphylactic reaction following shellfish ingestion, treated with subcutaneous epinephrine and in whom a rescue coronary angioplasty was necessary is reported. The mechanism of coronary occlusion in this kind of reaction and the possible influence on the efficacy of treatment is discussed.
López-Mínguez
J R
JR
Unidad de Hemodinámica y Cardiología Intervencionista. Hospital Universitario Infanta Cristina. Badajoz.
González Fernández
R
R
Millán Núñez
V
V
Merchán Herrera
A
A
Altozano Gómez
J C
JC
García-Andoaín
J M
JM
D000328:Adult; D000707:Anaphylaxis / Q000150:complications*; D015906:Angioplasty, Balloon, Coronary; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology* / Q000601:surgery*; D057096:Shellfish Poisoning