Kounis Syndrome together with Myocardial Bridging Leading to Acute Myocardial Infarction at Young Age

Kounis syndrome, also named as “allergic angina syndrome,” is a diagnosis in which exposure to an allergen causes mostly coronary spasm and rarely plaque rupture, resulting in ischemic myocardial events. Myocardial bridging is defined as an intramural segment of a coronary artery and its systolic co...

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Main Authors: Ilker Murat Caglar, Alper Vural, Fatma Nihan Turhan Caglar, Murat Ugurlucan, Osman Karakaya
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2011/490310
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author Ilker Murat Caglar
Alper Vural
Fatma Nihan Turhan Caglar
Murat Ugurlucan
Osman Karakaya
author_facet Ilker Murat Caglar
Alper Vural
Fatma Nihan Turhan Caglar
Murat Ugurlucan
Osman Karakaya
author_sort Ilker Murat Caglar
collection DOAJ
description Kounis syndrome, also named as “allergic angina syndrome,” is a diagnosis in which exposure to an allergen causes mostly coronary spasm and rarely plaque rupture, resulting in ischemic myocardial events. Myocardial bridging is defined as an intramural segment of a coronary artery and its systolic compression by overlying fibers. Myocardial bridging generally has a benign prognosis and mostly affects the mid portion of left anterior descending coronary artery. However, some cases with myocardial ischemia, infarction, and sudden death have also been reported. A 17-year-old boy presented to the clinic with acute anterolateral myocardial infarction after having first dose of clindamycin and diagnosed as Kounis syndrome. Further diagnostic workup of the patient showed myocardial bridging at the mid left anterior descending artery. In this report, we present the combination of Kounis syndrome and myocardial bridging leading to myocardial infarction at young age.
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spelling doaj-art-b4e20cb842d94599bc612e1801edae362025-02-03T01:32:04ZengWileyCase Reports in Medicine1687-96271687-96352011-01-01201110.1155/2011/490310490310Kounis Syndrome together with Myocardial Bridging Leading to Acute Myocardial Infarction at Young AgeIlker Murat Caglar0Alper Vural1Fatma Nihan Turhan Caglar2Murat Ugurlucan3Osman Karakaya4Department of Cardiology, Bakirkoy Education and Research Hospital, Istanbul, TurkeyDepartment of Cardiology, Bakirkoy Education and Research Hospital, Istanbul, TurkeyInstitute of Cardiology, Istanbul University, Istanbul, TurkeyDepartment of Cardiovascular Surgery, Duzce Ataturk State Hospital, Duzce, TurkeyDepartment of Cardiology, Bakirkoy Education and Research Hospital, Istanbul, TurkeyKounis syndrome, also named as “allergic angina syndrome,” is a diagnosis in which exposure to an allergen causes mostly coronary spasm and rarely plaque rupture, resulting in ischemic myocardial events. Myocardial bridging is defined as an intramural segment of a coronary artery and its systolic compression by overlying fibers. Myocardial bridging generally has a benign prognosis and mostly affects the mid portion of left anterior descending coronary artery. However, some cases with myocardial ischemia, infarction, and sudden death have also been reported. A 17-year-old boy presented to the clinic with acute anterolateral myocardial infarction after having first dose of clindamycin and diagnosed as Kounis syndrome. Further diagnostic workup of the patient showed myocardial bridging at the mid left anterior descending artery. In this report, we present the combination of Kounis syndrome and myocardial bridging leading to myocardial infarction at young age.http://dx.doi.org/10.1155/2011/490310
spellingShingle Ilker Murat Caglar
Alper Vural
Fatma Nihan Turhan Caglar
Murat Ugurlucan
Osman Karakaya
Kounis Syndrome together with Myocardial Bridging Leading to Acute Myocardial Infarction at Young Age
Case Reports in Medicine
title Kounis Syndrome together with Myocardial Bridging Leading to Acute Myocardial Infarction at Young Age
title_full Kounis Syndrome together with Myocardial Bridging Leading to Acute Myocardial Infarction at Young Age
title_fullStr Kounis Syndrome together with Myocardial Bridging Leading to Acute Myocardial Infarction at Young Age
title_full_unstemmed Kounis Syndrome together with Myocardial Bridging Leading to Acute Myocardial Infarction at Young Age
title_short Kounis Syndrome together with Myocardial Bridging Leading to Acute Myocardial Infarction at Young Age
title_sort kounis syndrome together with myocardial bridging leading to acute myocardial infarction at young age
url http://dx.doi.org/10.1155/2011/490310
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