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

A 43-year-old person with no cardiac version presented with chest bitterness followed by cardiac arrest. He was successfully defibrillated and underwent important percutaneous coronary angioplasty to a culprit coronary artery lesion. He next re-presented with a diffuse urticarial adventurous and lip swelling, reporting that these symptoms had been already for 4 weeks before his cardiac arrest and voicing enterprise that a too cardiac arrest may be imminent. A diagnosis of post-viral or idiopathic autoimmune urticaria and angioedema was made. Addicted the absence of cardiac symptoms before the evolution of the rash, it was hypothesised that coronary artery spasm precipitated by histamine proceeds due to his dermatological action contributed to his myocardial infarction and cardiac arrest. The ending diagnosis was then cardiac arrest secondary to type II Kounis syndrome, resulting from idiopathic autoimmune or post-viral urticaria and angioedema.

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