scholarly journals Type 1 Kounis Syndrome in Patient with Idiopathic Anaphylaxis

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Tajda Keber ◽  
Jana Makuc ◽  
Gregor Sekavčnik
Keyword(s):  
Chest Pain ◽  
Acute Coronary Syndromes ◽  
Coronary Angiogram ◽  
Kounis Syndrome ◽  
Anginal Pain ◽  
Normal Coronary Angiogram ◽  
Coronary Syndromes ◽  
Idiopathic Anaphylaxis

Kounis syndrome represents the concurrence of acute coronary syndromes or anginal pain with allergic, hypersensitivity, and anaphylactic reactions. It can be associated with normal coronary angiogram or preexistent coronary pathology. Idiopathic anaphylaxis is defined as anaphylaxis without any identifiable precipitating agent or event. We present a case of male who experienced attacks of dyspnoea, hypoxemia, hypotension, purple-red skin, and chest pain over several years. He was diagnosed with idiopathic anaphylaxis. Based on the pattern of chest pain of ischemic origin during the attacks he was retrospectively diagnosed with Kounis syndrome.

Abstract 5592: In Acute Coronary Syndromes Being Totally Revascularized Is As Good As Having A Normal Coronary Angiogram

Circulation ◽  
2008 ◽  
Vol 118 (suppl_18) ◽  
Author(s):  
Rogerio Teixeira ◽  
Carolina Lourenco ◽  
Elisabete Jorge ◽  
Rui Baptista ◽  
Natalia Antonio ◽  
...  
Keyword(s):  
Acute Coronary Syndromes ◽  
Left Ventricular ◽  
Left Ventricular Ejection ◽  
Coronary Angiogram ◽  
Ventricular Ejection Fraction ◽  
Cox Regression Analysis ◽  
Invasive Strategy ◽  
Normal Coronary Angiogram ◽  
Incomplete Revascularization ◽  
Coronary Syndromes

Background: Revascularization is a crucial therapy in acute coronary syndromes (ACS). Purpose: to assess ACS patients outcomes, stratified according to the coronary angiography and/or angioplasty. Population and methods: 786 consecutive ACS patients submitted to an invasive strategy, divided in 3 groups: A (n=111) normal coronary angiogram; B (n=327) fully revascularized; C (n=348) incomplete revascularization. A 1-year follow up targeting major adverse cardiovascular events (MACE) was performed. Results: Group A had more females (38.7 vs 21.1 vs 24.4% p<0.01), patients were more admitted for unstable angina (37.3 vs 14.9 vs 17.9% p<0.01) and had a higher left ventricular ejection fraction (LVEF). Group B were more on previous statin therapy, had more often an admission for ST elevation acute myocardial infarction (17.3 vs 51.7 vs 42.4% p<0.001) and higher peak levels of cardiac biomarkers. Group C were older and had more frequently a previous history of coronary disease. Group C patients had a worse in-hospital mortality (1.8 vs 1.2 vs 7.5% p<0.01) and morbidity. The MACE free survival rate was significantly lower for group C (92.9% vs. 92.9% vs. 78.2%; log rank p<0.001). In a multivariate Cox regression analysis, incomplete revascularization remained an independent predictor of MACE at 1 year (HR 2.74, CI 1.50 – 4.94), in a model that included, age, gender, LVEF, diabetes, coronary anatomy, and admission diagnosis. Conclusion: Our data strongly support the use of an aggressive invasive strategy in ACS, aimed at achieving full revascularization, as these patients had the same medium term prognosis as those with normal coronary angiogram.

B-type natriuretic peptide after hormone therapy in postmenopausal women with chest pain and normal coronary angiogram

2008 ◽  
Vol 15 (2) ◽  
pp. 352-356 ◽  
Author(s):  
Hiroaki Kawano ◽  
Yasuhiro Nagayoshi ◽  
Hirofumi Soejima ◽  
Yasuaki Tanaka ◽  
Jun Hokamaki ◽  
...  
Keyword(s):  
Chest Pain ◽  
Hormone Therapy ◽  
Postmenopausal Women ◽  
Natriuretic Peptide ◽  
Coronary Angiogram ◽  
Normal Coronary Angiogram

Physical fitness cannot be used to predict the likelihood of acute coronary syndromes in ED patients with chest pain

2012 ◽  
Vol 30 (1) ◽  
pp. 57-60
Author(s):  
Taku Taira ◽  
Breena R. Taira ◽  
Jasmine Chohan ◽  
Daniel Dickinson ◽  
Regina M. Troxell ◽  
...  
Keyword(s):  
Chest Pain ◽  
Physical Fitness ◽  
Acute Coronary Syndromes ◽  
Coronary Syndromes

Chronic kidney disease as a risk factor for acute coronary syndromes in patients presenting to the emergency room with chest pain

2012 ◽  
Vol 159 (5) ◽  
pp. 391-396 ◽  
Author(s):  
Sherezade Khambatta ◽  
Michael E. Farkouh ◽  
R. Scott Wright ◽  
Guy S. Reeder ◽  
Peter A. McCullough ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Risk Factor ◽  
Chest Pain ◽  
Kidney Disease ◽  
Emergency Room ◽  
Acute Coronary Syndromes ◽  
Coronary Syndromes

scholarly journals PRe-hospital Evaluation of Sensitive TrOponin (PRESTO) Study: multicentre prospective diagnostic accuracy study protocol

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e032834 ◽  
Author(s):  
Abdulrhman Alghamdi ◽  
Eloïse Cook ◽  
Edward Carlton ◽  
Aloysius Siriwardena ◽  
Mark Hann ◽  
...  
Keyword(s):  
Chest Pain ◽  
Hospital Admission ◽  
Diagnostic Accuracy ◽  
Blood Sample ◽  
Acute Coronary Syndromes ◽  
Venous Blood ◽  
Prehospital Setting ◽  
Registration Number ◽  
Coronary Syndromes ◽  
Rule Out

IntroductionWithin the UK, chest pain is one of the most common reasons for emergency (999) ambulance calls and the most common reason for emergency hospital admission. Diagnosing acute coronary syndromes (ACS) in a patient with chest pain in the prehospital setting by a paramedic is challenging. The Troponin-only Manchester Acute Coronary Syndromes (T-MACS) decision rule is a validated tool used in the emergency department (ED) to stratify patients with suspected ACS following a single blood test.We are seeking to evaluate the diagnostic accuracy of the T-MACS decision aid algorithm to ‘rule out’ ACS when used in the prehospital environment with point-of-care troponin assays. If successful, this could allow paramedics to immediately rule out ACS for patients in the ‘very low risk’ group and avoid the need for transport to the ED, while also risk stratifying other patients using a single blood sample taken in the prehospital setting.Methods and analysisWe will recruit patients who call emergency (999) ambulance services where the responding paramedic suspects cardiac chest pain. The data required to apply T-MACS will be prospectively recorded by paramedics who are responding to each patient. Paramedics will be required to draw a venous blood sample at the time of arrival to the patient. Blood samples will later be tested in batches for cardiac troponin, using commercially available troponin assays. The primary outcome will be a diagnosis of acute myocardial infarction, established at the time of initial hospital admission. The secondary outcomes will include any major adverse cardiac events within 30 days of enrolment.Ethics and disseminationThe study obtained approval from the National Research Ethics Service (reference: 18/ES/0101) and the Health Research Authority. We will publish our findings in a high impact general medical journal.Trial registration numberRegistration number: ClinicalTrials.gov, study ID: NCT03561051

Improved Assessment of Chest pain Trial (IMPACT): assessing patients with possible acute coronary syndromes

2017 ◽  
Vol 207 (5) ◽  
pp. 195-200 ◽  
Author(s):  
Louise Cullen ◽  
Jaimi H Greenslade ◽  
Tracey Hawkins ◽  
Chris Hammett ◽  
Shanen O'Kane ◽  
...  
Keyword(s):  
Chest Pain ◽  
Acute Coronary Syndromes ◽  
Coronary Syndromes

Chest Pain and Acute Coronary Syndromes (ACS)

2003 ◽  
pp. 43-43
Author(s):  
Shashiraj E ◽  
Babu Palatty ◽  
Amiya Chakraborty
Keyword(s):  
Chest Pain ◽  
Acute Coronary Syndromes ◽  
Coronary Syndromes

scholarly journals Coronavirus disease 2019 is delaying the diagnosis and management of chest pain, acute coronary syndromes, myocarditis and heart failure

2021 ◽  
Vol 17 (1) ◽  
pp. 3-6 ◽  
Author(s):  
Bhurint Siripanthong ◽  
Thomas C Hanff ◽  
Michael G Levin ◽  
Mahesh K Vidula ◽  
Mohammed Y Khanji ◽  
...  
Keyword(s):  
Heart Failure ◽  
Chest Pain ◽  
Acute Coronary Syndromes ◽  
Diagnosis And Management ◽  
Coronary Syndromes
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