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Podcast #286: Coronary Vascular Conditions that aren’t STEMI
Podcast #286: Coronary Vascular Conditions that aren’t STEMI
ratings:
Length:
4 minutes
Released:
Jan 3, 2018
Format:
Podcast episode
Description
Author: Don Stader, M.D. Educational Pearls While we usually associate the coronary vasculature with STEMIs, there are other pathologies that can affect the heart’s blood supply. Kounis syndrome: an allergic vasospasm of the coronary arteries. This can happen post anaphylaxis or be caused by a stent allergy. It is best treated with aggressive management of the allergic reaction. Kawasaki disease: An autoimmune condition that presents in kids as conjunctivitis, lymphadenopathy, hand/foot swelling, rash, and fever. It can also cause coronary aneurysms, which can rupture and be rapidly fatal. Prinzmetal angina: Caused by coronary vasospasm. Presents with transient chest pain at rest. Treat with CCBs. Cocaine: Causes coronary vasospasm. Cocaine-induced vasospasm is best treated with BZDs. Coronary artery dissection: increased risk in pregnant women and those with connective tissue disorders. References: Memon S, Chhabra L, Masrur S, Parker MW. Allergic acute coronary syndrome (Kounis syndrome). Proceedings (Baylor University Medical Center). 2015;28(3):358-362.
Released:
Jan 3, 2018
Format:
Podcast episode
Titles in the series (100)
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