Epinephrine and the paradox of Kounis syndrome: a case series and review of management
These cases emphasize the potential for anaphylaxis to precipitate acute coronary syndrome which can paradoxically be exacerbated by the routine administration of epinephrine in susceptible individuals, underscoring the importance of heightened vigilance and consideration of alternative therapies when Kounis syndrome is suspected.
Authors
- Aswin Srinivasan (ORCID: https://orcid.org/0000-0002-5411-4762)
- Shudipan Chakraborty
- Christopher V. Hawkins (ORCID: https://orcid.org/0009-0005-8709-8892)
- A. Rhodes
- Aakash Kumar (ORCID: https://orcid.org/0000-0002-6339-855X)
- Hafez Golzarian (ORCID: https://orcid.org/0000-0003-2932-6525)
- Mohammad Hamideh
Institutions
- Memorial Hermann (US)
- University of Nevada, Las Vegas (US)
- St. Rita's Medical Center (US)
- Lone Star College Kingwood (US)
- University of Houston (US)
Publication Details
- Journal
- European Heart Journal - Case Reports
- Published
- 2025-08-29
- DOI
- https://doi.org/10.1093/ehjcr/ytaf414
- Citations
- 3
- Primary Topic
- Food Allergy and Anaphylaxis Research
- Type
- article
- Field-Weighted Citation Impact
- 4.87
Funders
- HCA Healthcare