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Coronary artery spasm due to intravenous atropine infusion in a child: possible Kounis syndrome

Published online by Cambridge University Press:  10 January 2018

Ana Castellano-Martinez  and
Moises Rodriguez-Gonzalez
Ana Castellano-Martinez
Affiliation:
Department of Pediatrics, Hospital Universitario Puerta del Mar, Cadiz, Spain
Moises Rodriguez-Gonzalez*
Affiliation:
Department of Pediatric Cardiology, Hospital Universitario Puerta del Mar, Cadiz, Spain
*
Correspondence to: M. Rodriguez-Gonzalez, MD, Department of Pediatrics, Hospital Universitario Puerta del Mar, Ana de Viya Avenue 34, 11009 Cadiz, Spain. Tel: 34 956 00 27 00; Fax: 34 956002085; E-mail: moirogo@gmail.com
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Abstract

Coronary vasospasm can result from silent myocardial ischaemia to sudden death. There are many precipitant factors including different pharmacological agents. Kounis syndrome is defined by acute coronary syndromes associated with anaphylactic or anaphylactoid reactions. We report, to the best of our knowledge, the first paediatric case of Kounis syndrome due to intravenous atropine.

Keywords

Atropinecoronary vasospasmKounis syndromechildren
Type
Brief Report
Information
Cardiology in the Young , Volume 28 , Issue 4 , April 2018 , pp. 616 - 618
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Copyright
© Cambridge University Press 2018 

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