Publication: Atropine and Kounis syndrome, a rare association mimicking ST segment elevation myocardial infarction in a young patient: A Case Report
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Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
Nepalese Respiratory Society
Abstract
Abstract:
Kounis syndrome is a hypersensitivity acute coronary disorder which occurs with allergic reaction with drugs, food and insect bite. Atropine is rarely found to be reported with such allergic reactions in the literatures. In this report, we describe a case of a 25 years old male, with a background history of psychotic disorder and cannabis dependent syndrome with persistent bradycardia. When challenged with atropine he developed chest pain, shortness of breath and urticarial rash. ECG showed ST segment changes which settled after symptomatic management. Coronary angiogram revealed normal coronary arteries. Though uncommonly reported, it is one of the confusing and underdiagnosed serious conditions for treating physicians which can potentially mimic ST segment elevation myocardial infarction.
Description
Asraf Hussain
Department of Cardiology, Chitwan Medical College, Bharatpur, Nepal
Shyam Raj Regmi
Department of Cardiology, Chitwan Medical College, Bharatpur, Nepal
Bishnu Mani Dhital
Department of Cardiology, Chitwan Medical College, Bharatpur, Nepal
Shovit Thapa
Department of Cardiology, Chitwan Medical College, Bharatpur, Nepal
Tirth Dhungana
Department of Cardiology, Chitwan Medical College, Bharatpur, Nepal
Amir Khan
Department of Cardiology, Chitwan Medical College, Bharatpur, Nepal
Sagar Thapa
Department of Cardiology, Chitwan Medical College, Bharatpur, Nepal
Rohit Murarka
Department of Cardiology, Chitwan Medical College, Bharatpur, Nepal
Ashok Shrestha
Department of Cardiology, Chitwan Medical College, Bharatpur, Nepal
Ramgobind Chaudhary
Department of Cardiology, Chitwan Medical College, Bharatpur, Nepal
Ramnarayan Kurmi
Department of Cardiology, Chitwan Medical College, Bharatpur, Nepal
Keywords
Atropine, Hypersensitivity, Kounis Syndrome, Urticaria