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Myocardial infarction secondary to contrast agent. Contrast effect or type II Kounis syndrome?

Abstract
The diagnostic administration of contrast agents has been increased recently in various fields, including coronary angiography, but reports of coronary artery spasm caused by contrast agents are rare. However, myocardial infarction following administration of nonionic contrast agents has not been reported, as far as we are aware. Herein, we described a case of acute anterior myocardial infarction induced by the contrast agent iopromide (Ultravist). We also discussed the possible reasons for this situation.
AuthorsGonenc Kocabay, Can Yucel Karabay, Nicholas George Kounis
JournalThe American journal of emergency medicine (Am J Emerg Med) Vol. 30 Issue 1 Pg. 255.e1-2 (Jan 2012) ISSN: 1532-8171 [Electronic] United States
PMID21159465 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Contrast Media
  • Iohexol
  • iopromide
Topics
  • Contrast Media (adverse effects)
  • Coronary Angiography (adverse effects)
  • Coronary Vasospasm (chemically induced)
  • Drug Hypersensitivity (etiology)
  • Humans
  • Iohexol (adverse effects, analogs & derivatives)
  • Male
  • Middle Aged
  • Myocardial Infarction (chemically induced, etiology)
  • Syndrome

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