we read with interest the letter by Mirijello et al. [
[1]
] which emphasizes the importance of Kounis syndrome (KS), Takotsubo syndrome and their
copresence in ATAK syndrome among cardiovascular manifestations of anaphylaxis. These
are peculiar syndromes with yet uncompleted ascertained epidemiology (at least for
KS) which may occur during anaphylaxis, complicate its course, and require special
monitoring and management (namely exclusive intramuscular administration of adrenaline
in a closely supervised setting for KS) [
- Mirijello A.
- De Cosmo S.
Adult anaphylaxis: to the heart of the matter.
Eur J Intern Med. 2022; https://doi.org/10.1016/j.ejim.2022.03.034
[2]
,
[3]
].- Campbell R.L.
- Bellolio M.F.
- Knutson B.D.
- Bellamkonda V.R.
- Fedko M.G.
- Nestler D.M.
- Hess E.P.
Epinephrine in anaphylaxis: higher risk of cardiovascular complications and overdose
after administration of intravenous bolus epinephrine compared with intramuscular
epinephrine.
J Allergy Clin Immunol Pract. 2015; 3 (Jan-Feb): 76-80
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References
- Adult anaphylaxis: to the heart of the matter.Eur J Intern Med. 2022; https://doi.org/10.1016/j.ejim.2022.03.034
- Allergy associated myocardial infarction: a comprehensive report of clinical presentation, diagnosis and management of Kounis syndrome.Vaccines (Basel). 2021; 10: 38
- Epinephrine in anaphylaxis: higher risk of cardiovascular complications and overdose after administration of intravenous bolus epinephrine compared with intramuscular epinephrine.J Allergy Clin Immunol Pract. 2015; 3 (Jan-Feb): 76-80
- Adult anaphylaxis: a state-of-the-art review.Eur J Intern Med. 2022; (S0953-6205(22)00093-0)https://doi.org/10.1016/j.ejim.2022.03.003
Article info
Publication history
Published online: April 18, 2022
Accepted:
April 14,
2022
Received:
April 11,
2022
Identification
Copyright
© 2022 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.
