title: Myocardial infarction secondary to contrast agent. Contrast effect or type II Kounis syndrome?
abstract: The diagnostic administration of contrast agents has been increased recently in various fields, including coronary angiography, but reports of coronary artery spasm caused by contrast agents are rare. However, myocardial infarction following administration of nonionic contrast agents has not been reported, as far as we are aware. Herein, we described a case of acute anterior myocardial infarction induced by the contrast agent iopromide (Ultravist). We also discussed the possible reasons for this situation.
authors.affiliation: Kosuyolu Heart and Research Hospital, Department of Cardiology, Kartal, Istanbul, Turkey. gonenckocabay@yahoo.com
authors.forename: Gonenc
authors.initials: G
authors.lastname: Kocabay
authors.forename: Can Yucel
authors.initials: CY
authors.lastname: Karabay
authors.forename: Nicholas George
authors.initials: NG
authors.lastname: Kounis
mesh_terms: D003287:Contrast Media / Q000009:adverse effects*; D017023:Coronary Angiography / Q000009:adverse effects*; D003329:Coronary Vasospasm / Q000139:chemically induced; D004342:Drug Hypersensitivity / Q000209:etiology; D006801:Humans; D007472:Iohexol / Q000009:adverse effects / Q000031:analogs & derivatives*; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000139:chemically induced* / Q000209:etiology; D013577:Syndrome
chemical_list: D003287:Contrast Media; D007472:Iohexol; C038192:iopromide