title: Acute myocardial infarction in a patient with normal coronary arteries after an allergic reaction.
abstract: The case is described of a man aged 51 years who, one hour after a coronary angiographic examination that showed coronary arteries without lesions, suffered an acute inferior myocardial infarction as the result of an acute allergic reaction, probably to the iodinated contrast agent that was used. Acute myocardial infarction following an allergy is an extremely rare clinical entity that, according to existing data, is due to the local release of vasoconstrictive substances as a result of the allergic reaction.
authors.affiliation: Cardiology Department, Heraklion University Hospital, Crete, Greece. cardio@med.uoc.gr
authors.forename: Mihalis I
authors.initials: MI
authors.lastname: Hamilos
authors.forename: George E
authors.initials: GE
authors.lastname: Kochiadakis
authors.forename: Emmanuel I
authors.initials: EI
authors.lastname: Skalidis
authors.forename: Nikos E
authors.initials: NE
authors.lastname: Igoumenidis
authors.forename: Angeliki
authors.initials: A
authors.lastname: Zaharaki
authors.forename: Pangs E
authors.initials: PE
authors.lastname: Vardas
mesh_terms: D000787:Angina Pectoris / Q000175:diagnosis / Q000000981:diagnostic imaging*; D003287:Contrast Media / Q000009:adverse effects; D017023:Coronary Angiography / Q000009:adverse effects* / Q000379:methods; D004342:Drug Hypersensitivity / Q000175:diagnosis* / Q000188:drug therapy; D004562:Electrocardiography; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000139:chemically induced* / Q000188:drug therapy / Q000503:physiopathology; D035583:Rare Diseases; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014336:Troponin / Q000627:therapeutic use
chemical_list: D003287:Contrast Media; D014336:Troponin