Assuntos
Mel/intoxicação , Infarto Miocárdico de Parede Inferior/induzido quimicamente , Rhododendron , Toxinas Biológicas/intoxicação , Angiografia Coronária , Eletrocardiografia , Flores , Humanos , Infarto Miocárdico de Parede Inferior/diagnóstico , Infarto Miocárdico de Parede Inferior/terapia , Masculino , Pessoa de Meia-Idade , Néctar de Plantas , Valor Preditivo dos Testes , Fatores de RiscoRESUMO
No abstract available.
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Angiografia Coronária , Eletrocardiografia , Flores , Mel/intoxicação , Infarto Miocárdico de Parede Inferior/induzido quimicamente , Néctar de Plantas , Valor Preditivo dos Testes , Rhododendron , Fatores de Risco , Toxinas Biológicas/intoxicaçãoRESUMO
Cefriaxone is a third-generation cephalosporin that might rarely cause a severe allergic reaction. Acute cardiac emergencies are quite rare in the setting of drug allergies. Here, we report the first case of myocardial infarction and AV-block after intravenous cefriaxone administration.
Assuntos
Ceftriaxona/efeitos adversos , Bloqueio Cardíaco/induzido quimicamente , Infarto Miocárdico de Parede Inferior/induzido quimicamente , Idoso , Antibacterianos/administração & dosagem , Antibacterianos/efeitos adversos , Ceftriaxona/administração & dosagem , Hipersensibilidade a Drogas/etiologia , Humanos , Injeções Intravenosas , Masculino , SíndromeAssuntos
Benzazepinas/efeitos adversos , Infarto Miocárdico de Parede Inferior/induzido quimicamente , Infarto Miocárdico de Parede Inferior/diagnóstico , Quinoxalinas/efeitos adversos , Fumar/tratamento farmacológico , Benzazepinas/administração & dosagem , Feminino , Humanos , Infarto Miocárdico de Parede Inferior/epidemiologia , Pessoa de Meia-Idade , Agonistas Nicotínicos/administração & dosagem , Agonistas Nicotínicos/efeitos adversos , Quinoxalinas/administração & dosagem , Fatores de Risco , Fumar/epidemiologia , Abandono do Hábito de Fumar/métodos , VareniclinaRESUMO
Allergic symptoms accompanied by myocardial ischemic symptoms are defined as Kounis syndrome. Etofenamate is a safe and effective non-steroidal antiinflammatory drug that has widespread utilization. We hereby present a 71-year-old man with Kounis syndrome. Following intramuscular 1 g etofenamate injection, the clinical presentation when admitted to the emergency department (ED) was erythematous rash, pruritus, nausea and vomiting, dizziness, diaphoresis, and chest pain resulting in cardiopulmonary arrest. After 10 minutes of successful cardiopulmonary resuscitation, the electrocardiogram revealed acute inferior myocardial infarction. Patients who admit to the ED with allergic symptoms accompanied by chest pain should consider Kounis syndrome for prompt management. Electrocardiographic examination should be an essential part of the initial evaluation in such patients.
Assuntos
Anti-Inflamatórios não Esteroides/efeitos adversos , Hipersensibilidade a Drogas/complicações , Ácido Flufenâmico/análogos & derivados , Infarto Miocárdico de Parede Inferior/induzido quimicamente , Idoso , Anti-Inflamatórios não Esteroides/administração & dosagem , Reanimação Cardiopulmonar , Dor no Peito , Eletrocardiografia , Eritema , Ácido Flufenâmico/administração & dosagem , Ácido Flufenâmico/efeitos adversos , Parada Cardíaca/terapia , Humanos , Infarto Miocárdico de Parede Inferior/complicações , Infarto Miocárdico de Parede Inferior/diagnóstico , Masculino , Náusea , Prurido , Sudorese , Síndrome , VômitoRESUMO
Mad-honey poisoning can occur after the eating of honey that contains grayanotoxin. Mad honey is intentionally produced from the nectar of Rhododendron ponticum, which grows in Japan, Nepal, Brazil, parts of North America and Europe, and the eastern Black Sea region of Turkey. Low doses of grayanotoxin can cause dizziness, hypotension, and bradycardia, and high doses can cause impaired consciousness, syncope, atrioventricular block, and asystole due to vagal stimulation. Reports of acute coronary syndrome are very rare. Herein, we present the case of a 50-year-old husband and 42-year-old wife who, to improve sexual performance, intentionally ate honey from the Black Sea area of Turkey for 1 week. Within 3 hours of consuming increased amounts of the honey, they presented at our emergency department with acute inferior myocardial infarctions. Coronary angiography revealed normal coronary arteries in both patients. Supportive treatment with atropine rapidly resolved the clinical symptoms and electrocardiographic irregularities. Grayanotoxin-containing rhododendron pollen was detected in the honey.In patients from geographic regions where mad honey can be obtained, mad-honey poisoning should be considered in the differential diagnosis of chest pain, particularly in the presence of unexplained bradyarrhythmia and hypotension. Sexual performance is a chief reason for the purchase of mad honey and self-treatment with it by persons of our patients' ages.