Cited 1 times since 2014 (0.1 per year) source: EuropePMC Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation, Volume 22, Issue 2, 1 1 2014, Pages 77-79 ST-segment elevation associated with allergic reaction to echocardiographic contrast agent administration. van Ginkel A, Sorgdrager B, de Graaf MA, Karalis I, Ajmone Marsan N

We report a case of an allergic reaction after the administration of an echocardiographic contrast agent which resulted in ST-segment elevation. Hypersensitivity and allergic reactions are known causes of acute cardiovascular events. However, only limited reports are available which suggest the exact mechanism of the occurrence of angina or myocardial infarction during severe allergic reactions. In our case, through invasive imaging (coronary angiography and IVUS) we have shown for the first time a transient coronary spasm in the absence of intra-coronary thrombus and only minimal neointimal hyperplasia.

Neth Heart J. 2014 2;22(2):77-79