title: Cardiac anaphylaxis: a case of acute ST-segment elevation myocardial infarction after IM epinephrine for anaphylactic shock.
abstract: A 62-year-old male smoker with no other comorbidities presented to emergency department with systemic anaphylaxis, due to oral diclofenac for toothache. He developed acute anterior wall myocardial infarction following IM epinephrine 1 mg 1:1000. Primary percutaneous coronary intervention was done, which showed a thrombus in the mid left anterior descending artery with no evidence of obstructive coronary artery disease after thrombus aspiration.
authors.affiliation: Department of Cardiology, Amrita Institute of Health Sciences, Kochi, India.
authors.forename: Karthik
authors.initials: K
authors.lastname: Tummala
authors.forename: Vijay K
authors.initials: VK
authors.lastname: Maniyal
authors.forename: Rajiv
authors.initials: R
authors.lastname: Chandrashekaran
authors.forename: Navin
authors.initials: N
authors.lastname: Mathew
authors.forename: Gaurav
authors.initials: G
authors.lastname: Ganeshwala
mesh_terms: D000707:Anaphylaxis / Q000139:chemically induced* / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000009:adverse effects*; D004008:Diclofenac / Q000009:adverse effects*; D004837:Epinephrine / Q000009:adverse effects* / Q000627:therapeutic use; D006801:Humans; D007273:Injections, Intramuscular; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000139:chemically induced* / Q000175:diagnosis; D014662:Vasoconstrictor Agents / Q000009:adverse effects* / Q000627:therapeutic use
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D014662:Vasoconstrictor Agents; D004008:Diclofenac; D004837:Epinephrine