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World J Cardiol. Apr 26, 2013; 5(4): 112-114
Published online Apr 26, 2013. doi: 10.4330/wjc.v5.i4.112
Published online Apr 26, 2013. doi: 10.4330/wjc.v5.i4.112
A case of type I variant Kounis syndrome with Samter-Beer triad
Jayesh S Prajapati, Kapil M Virpariya, Department of Cardiology, UN Mehta Institute of Cardiology and Research Center, Ahmedabad 380016, Gujarat, India
Ashok S Thakkar, Department of Clinical Trials, Sahajanand Medical Technologies Pvt. Ltd., Surat 395004, India
Atul D Abhyankar, Department of Cardiology, Shree BD Mehta Mahavir Heart Institute, Athwagate, Surat 395001, India
Author contributions: Prajapati JS, Virpariya KM, Thakkar AS and Abhyankar AD designed the research and wrote the paper; Prajapati JS and Virpariya KM performed the research.
Correspondence to: Jayesh S Prajapati, MD, DM, Associate Professor of Cardiology, Department of Cardiology, UN Mehta Institute of Cardiology and Research Center, BJ Medical College and Civil Hospital Campus, Asarwa, Ahmedabad 380016, Gujarat, India. drjsprajapati@yahoo.co.in
Telephone: +91-79-26464343 Fax: +91-79-22682092
Received: January 27, 2013
Revised: March 4, 2013
Accepted: March 15, 2013
Published online: April 26, 2013
Processing time: 89 Days and 21.8 Hours
Revised: March 4, 2013
Accepted: March 15, 2013
Published online: April 26, 2013
Processing time: 89 Days and 21.8 Hours
Core Tip
Core tip: When there is a young individual with no predisposing factors of atherosclerosis and apparent coronary lesion, with or without electrocardiography and biochemical markers of infarction, the possibility of Kounis syndrome should be kept in mind. In such a situation, intracoronary vasodilators, nitrates, nicorandil or diltiazem should be used before proceeding with a coronary intervention. An urgent eosinophil count should be done before proceeding with a coronary intervention to rule out coronary spasm.