title: Rapid Aspirin Challenge in Patients with Aspirin Allergy and Acute Coronary Syndromes.
abstract: Aspirin allergy in a patient with acute coronary syndrome represents one of the more urgent challenges an allergist may face. Adverse reactions to aspirin are reported in 1.5% of patients with coronary artery disease. A history of adverse reaction to aspirin often leads to unnecessary withholding of this medication or use of alternative antiplatelet therapy which may be inferior or more costly. Aspirin therapy has been shown to reduce morbidity and mortality in patients with coronary artery disease. Rapid aspirin challenge/desensitization in the aspirin allergic patient has been consistently shown to be both safe and successful in patients with acute coronary syndromes.
authors.affiliation: Division of Allergy and Immunology, Scripps Green Hospital, La Jolla, CA, USA.
authors.forename: Kevin A
authors.initials: KA
authors.lastname: Cook
authors.affiliation: Division of Allergy and Immunology, Scripps Green Hospital, La Jolla, CA, USA. white.andrew@scrippshealth.org.
authors.forename: Andrew A
authors.initials: AA
authors.lastname: White
mesh_terms: D054058:Acute Coronary Syndrome / Q000150:complications*; D001241:Aspirin / Q000009:adverse effects*; D003888:Desensitization, Immunologic; D004342:Drug Hypersensitivity / Q000188:drug therapy; D006801:Humans; D007073:Immunoglobulin E / Q000276:immunology; D010975:Platelet Aggregation Inhibitors / Q000009:adverse effects*
chemical_list: D010975:Platelet Aggregation Inhibitors; D007073:Immunoglobulin E; D001241:Aspirin
keywords: Acute coronary syndrome; Aspirin allergy; Aspirin benefit; Aspirin challenge; Aspirin desensitization; Aspirin reaction; Aspirin therapy; Coronary artery disease