Cardiac anaphylaxis: a case of acute ST-segment elevation myocardial infarction after IM epinephrine for anaphylactic shock

Karthik Tummala; Vijay K Maniyal; Rajiv Chandrashekaran; Navin Mathew; Gaurav Ganeshwala

doi:10.1016/j.ajem.2013.03.025

Cardiac anaphylaxis: a case of acute ST-segment elevation myocardial infarction after IM epinephrine for anaphylactic shock

Am J Emerg Med. 2013 Jul;31(7):1157.e1-3. doi: 10.1016/j.ajem.2013.03.025. Epub 2013 May 21.

Authors

Karthik Tummala¹, Vijay K Maniyal, Rajiv Chandrashekaran, Navin Mathew, Gaurav Ganeshwala

Affiliation

¹ Department of Cardiology, Amrita Institute of Health Sciences, Kochi, India.

PMID: 23706578
DOI: 10.1016/j.ajem.2013.03.025

Abstract

A 62-year-old male smoker with no other comorbidities presented to emergency department with systemic anaphylaxis, due to oral diclofenac for toothache. He developed acute anterior wall myocardial infarction following IM epinephrine 1 mg 1:1000. Primary percutaneous coronary intervention was done, which showed a thrombus in the mid left anterior descending artery with no evidence of obstructive coronary artery disease after thrombus aspiration.

Publication types

Case Reports

MeSH terms

Anaphylaxis / chemically induced*
Anaphylaxis / complications
Anaphylaxis / diagnosis
Anaphylaxis / drug therapy
Anti-Inflammatory Agents, Non-Steroidal / adverse effects*
Diclofenac / adverse effects*
Epinephrine / adverse effects*
Epinephrine / therapeutic use
Humans
Injections, Intramuscular
Male
Middle Aged
Myocardial Infarction / chemically induced*
Myocardial Infarction / diagnosis
Vasoconstrictor Agents / adverse effects*
Vasoconstrictor Agents / therapeutic use

Substances

Anti-Inflammatory Agents, Non-Steroidal
Vasoconstrictor Agents
Diclofenac
Epinephrine