Coronary vasospasm secondary to allergic reaction following food ingestion: a case of type I variant Kounis syndrome.
Coronary vasospasm can be induced by allergic reactions with some chemical mediators, and the angina and myocardial infarction secondary to allergy-induced coronary vasospasm are referred to as "Kounis syndrome." Only two cases of Kounis syndrome following food ingestion have been reported. However, they had pre-existing atheromatous coronary artery disease, and no provocation test to induce coronary vasospasm was done. We describe here another probable case of allergic vasospasm after food intake. To the best of our knowledge, this is the first documented report of a patient with food-induced allergic vasospasm subsequent to the provocation test with ergometrine maleate.
Division of Cardiology, National Cardiovascular Center, 5-7-1 Fujishirodai, Suita, Osaka 565-8565, Japan.
Tadashi
T
Wada
Mitsuru
M
Abe
Nobuhito
N
Yagi
Nobuaki
N
Kokubu
Yoichiro
Y
Kasahara
Yu
Y
Kataoka
Yoritaka
Y
Otsuka
Yoichi
Y
Goto
Hiroshi
H
Nonogi
D000368:Aged; D017023:Coronary Angiography; D003329:Coronary Vasospasm / Q000175:diagnosis / Q000209:etiology*; D004562:Electrocardiography; D004874:Ergonovine; D005260:Female; D005512:Food Hypersensitivity / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D012758:Shellfish / Q000009:adverse effects*; D013577:Syndrome
D004874:Ergonovine