کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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5984476 | 1178590 | 2015 | 4 صفحه PDF | دانلود رایگان |
Myocarditis and acute coronary syndrome are both described in the setting of concurrent hypersensitivity reactions to a variety of allergenic triggers (hypersensitivity myocarditis and Kounis syndrome respectively). Mast cell degranulation is thought to be pivotal in the pathogenesis of both clinical entities. Cardiac magnetic resonance imaging (CMR) has assumed a key role in the assessment of chest pain syndromes, providing a useful non-invasive tool to aid clinical decision-making. Despite increasing availability and uptake of CMR, only a small fraction of published Kounis syndrome cases report CMR findings, and confirmation of myocardial infarction remains elusive. We present a case of presumed Kounis syndrome with comprehensive CMR imaging that provides an insight into why these two well-described clinical entities share many clinical features - perhaps they are one and the same.
Journal: Journal of Cardiology Cases - Volume 12, Issue 4, October 2015, Pages 119-122