title: Allergic myocardial ischemia causing reversible hemodynamic collapse during gastroscopy.
abstract: This case report details the development of an acute heart dysfunction during gastroscopy under sedation in a patient with normal coronary arteries. The early diagnosis by echocardiography and aggressive management allowed us to prevent a serious and fatal outcome. We spot on the diagnosis of allergic cardiogenic shock based on our clinical and laboratory finding.
authors.affiliation: Department of Anaesthesiology, Clemenceau Medical Center, Beirut, Lebanon.
authors.forename: Omar
authors.initials: O
authors.lastname: Itani
authors.affiliation: Department of Anaesthesiology, Clemenceau Medical Center, Beirut, Lebanon.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Jazzar
authors.affiliation: Department of Anaesthesiology, Clemenceau Medical Center, Beirut, Lebanon.
authors.forename: Rola
authors.initials: R
authors.lastname: Hammoud
authors.affiliation: Department of Anaesthesiology, Clemenceau Medical Center, Beirut, Lebanon.
authors.forename: Mireille
authors.initials: M
authors.lastname: Azar
authors.affiliation: Department of Anaesthesiology, Clemenceau Medical Center, Beirut, Lebanon.
authors.forename: Jamil
authors.initials: J
authors.lastname: Shaaban
keywords: Cardiogenic shock; coronary vasospasm; kounis syndrome