Kounis Syndrome Leading to Cardiac Arrest After Iodinated Contrast Exposure
Anthony Prisco, Jason D. Allen, Alejandra Gutiérrez, A Zanotto, Demetris Yannopoulos, Jeremy Markowitz, Jason A. Bartos
Abstract
Immune-mediated coronary spasm, called Kounis syndrome (KS), is not rare but is underdiagnosed. In this report, we present a case of KS induced by iodinated contrast resulting in cardiac arrest, requiring temporary mechanical circulatory support. We show angiographic evidence of KS and outline commonly associated clinical features that may predict KS. (Level of Difficulty: Beginner.)
Topics & Concepts
Kounis syndromeIodinated contrastMedicineCardiologyInternal medicineIodinated contrast mediaContrast (vision)Circulatory systemAcute coronary syndromeRadiologyComputed tomographyMyocardial infarctionComputer scienceArtificial intelligenceFood Allergy and Anaphylaxis ResearchViral Infections and Immunology ResearchDrug-Induced Adverse Reactions