From Wellens To Kounis Syndrome: An Unlucky Patient

Ossama Maadarani; Zouheir Bitar; Sania Shoeb; Jadan Alsaddah

doi:10.12890/2020_001689

From Wellens To Kounis Syndrome: An Unlucky Patient

Ossama Maadarani Internal Medicine Department, Ahmadi Hospital - Kuwait Oil Company, Al Ahmadi, Kuwait
Zouheir Bitar Internal Medicine Department, Ahmadi Hospital - Kuwait Oil Company, Al Ahmadi, Kuwait
Sania Shoeb Internal Medicine Department, Al Salam Hospital, Kuwait
Jadan Alsaddah Department of Cardiology, Chest Diseases Hospital, Kuwait

DOI: https://doi.org/10.12890/2020_001689

Keywords

Contrast media, Kounis syndrome, Wellens syndrome

Abstract

Wellens syndrome (WS) is identified by ECG changes in the precordial leads after resolution of angina chest pain. WS indicates critical stenosis of the proximal left anterior descending (LAD) artery. On the other hand, Kounis syndrome (KS) is an allergic reaction to various substances resulting in acute coronary syndrome. Contrast media can trigger the allergic reaction associated with KS. We describe a patient with WS who developed an allergic reaction to contrast media after percutaneous coronary intervention and experienced recurren myocardial infarction on re-exposure.

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