Kounis syndrome in a patient with multivessel coronary artery disease and DRESS.
Olga La CognataGiancarlo TrimarchiArmando Lo SavioVittorio VirgaGiuseppe AndòCesare de GregorioPublished in: Clinical case reports (2023)
A 68-year-old man was admitted with ST-elevation myocardial infarction and intense rash. He was diagnosed with type 2 Kounis syndrome elicited by drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome and received complete revascularization with percutaneous coronary intervention. This case highlights the complex pathophysiology of acute coronary syndrome, and the elusive link between coronary occlusion and ST-segment deviations at ECG.
Keyphrases
- percutaneous coronary intervention
- st elevation myocardial infarction
- coronary artery disease
- acute coronary syndrome
- st segment elevation myocardial infarction
- coronary artery bypass grafting
- antiplatelet therapy
- acute myocardial infarction
- case report
- coronary artery bypass
- cardiovascular events
- atrial fibrillation
- coronary artery
- heart rate
- aortic valve
- emergency department
- cardiovascular disease
- blood pressure
- heart failure
- depressive symptoms
- sleep quality