Allergic Acute Coronary Syndrome; A Fatal Presentation in the Emergency Department

Abstract

Allergic angina is not a rare disease, but it should be recognized at the earliest. We are reporting two cases of anaphylaxis, one with a history of unknown insect bite and the other due to intravenous (IV) contrast, leading to reversible myocardial ischemia, which we managed in our Emergency Department. These two patients clinically improved, and their ST-segment elevation on electrocardiogram (ECG) disappeared after intramuscular adrenaline. Allergic angina is an acute presentation in which anaphylaxis, or allergic insult, causes coronary spasm, which leads to angina. Early diagnosis and management initiation can minimize mortality and morbidity.

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IssueVol 5 No 2 (2021): Spring (April) QRcode
SectionCase based learning points
Published2021-02-14
DOI 10.18502/fem.v5i2.5629
Keywords
Acute Coronary Syndrome Anaphylaxis Hypersensitivity Kounis Syndrome

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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Duvvada G, Swaminathane R, Suresh Kumar TS. Allergic Acute Coronary Syndrome; A Fatal Presentation in the Emergency Department. Front Emerg Med. 5(2):e25.

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