Cardiac arrest secondary to type 2 Kounis syndrome resulting from urticaria and angioedema

A 43-year-old subject with no cardiac anecdote presented with chest shock followed by cardiac arrest. He was successfully defibrillated and underwent salient percutaneous coronary angioplasty to a culprit coronary artery lesion. He succeeding re-presented with a diffuse urticarial reckless and lip swelling, reporting that these symptoms had been coeval for 4 weeks before his cardiac arrest and voicing consideration that a extremely cardiac arrest may be imminent. A diagnosis of post-viral or idiopathic autoimmune urticaria and angioedema was made. Liable the absence of cardiac symptoms before the augmentation of the rash, it was hypothesised that coronary artery spasm precipitated by histamine proceeds due to his dermatological instance contributed to his myocardial infarction and cardiac arrest. The ending diagnosis was so cardiac arrest secondary to type II Kounis syndrome, resulting from idiopathic autoimmune or post-viral urticaria and angioedema.

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