Delayed Kounis syndrome and acute renal failure after wasp sting.


:A fifty-seven year old gentleman developed hemolysis induced oliguric acute renal failure following multiple wasp stings. Patient was hemodynamically stable on dialytic support. Twelve days later, although the patient was recovering from renal failure, he developed sudden onset of tachyarrythmias and echocardiography demonstrated a Takotsubo type of cardiomyopathy. He was managed with amiodarone and hemodialysis. After two more episodes of deterioration, the patient made full recovery from both the renal and cardiac toxicity. A case of delayed Kounis syndrome associated with Takotsubo cardiomyopathy in the setting of acute renal failure is described. The possible mechanism of such a presentation is discussed.


Int J Cardiol


Jairam A,Kumar RS,Ghosh AK,Hasija PK,Singh JI,Mahapatra D,Bairaria AK




Has Abstract


2010-01-07 00:00:00














  • Effects of synthetic progestagens on autonomic tone, neurohormones and C-reactive protein levels in young healthy females in reproductive age.

    abstract:BACKGROUND:Heart rate variability and baroreceptor sensitivity are measures of autonomic control. While progestagen-containing replacement therapy in postmenopausal women adversely affects autonomic balance, the impact of hormonal contraceptives with synthetic progestagens on autonomic activity, neurohormones and C-rea...

    journal_title:International journal of cardiology

    pub_type: 杂志文章


    authors: Schueller PO,Feuring M,Sharkova Y,Grimm W,Christ M

    更新日期:2006-07-28 00:00:00

  • The importance of right ventricular evaluation in risk assessment and therapeutic strategies: Raising the bar in pulmonary arterial hypertension.

    abstract::Pulmonary arterial hypertension is an obstructive pulmonary vasculopathy that leads to increased pulmonary vascular resistance, right ventricular overload and failure, and death. Patients' clinical status and prognosis depend mostly on the capability of the right ventricle to adapt to the increased afterload, maintain...

    journal_title:International journal of cardiology

    pub_type: 杂志文章,评审


    authors: Badagliacca R,Papa S,Matsubara H,Lang IM,Poscia R,Manzi G,Vizza CD

    更新日期:2020-02-15 00:00:00

  • Congenital atresia of the orifice of the left coronary artery and its main stem.

    abstract::A 13-year-old black male who died suddenly as a result of atresia of the left coronary ostium and left main coronary artery is presented. An association between this anomaly and supravalvar aortic stenosis is observed. The literature is reviewed and 14 similar cases are compared. Presentation of this anomaly is variab...

    journal_title:International journal of cardiology

    pub_type: 杂志文章,评审


    authors: Debich DE,Williams KE,Anderson RH

    更新日期:1989-03-01 00:00:00

  • Differential prognosis of vasospastic angina according to presentation with sudden cardiac arrest or not: Analysis of the Korean Health Insurance Review and Assessment Service.

    abstract:BACKGROUND:The long-term prognosis of vasospastic angina (VSA) patients presenting with aborted sudden cardiac death (ASCD) is still unknown. We sought to compare the long-term clinical outcomes between VSA patients presenting with and without ASCD by retrospective analysis of a nationwide population-based database. M...

    journal_title:International journal of cardiology

    pub_type: 杂志文章


    authors: Park TK,Gwag HB,Park SJ,Park H,Kang D,Park J,Cho J,Chung CR,Jeon K,Suh GY,Guallar E,Cho J,Yang JH

    更新日期:2018-12-15 00:00:00

  • Biochemical and structural adaptation of autologous skeletal muscle used for counterpulsation.

    abstract::We have studied in a normal animal model (sheep), the biochemical and morphological adaptation of electrically stimulated skeletal muscle used for extra aortic counterpulsation. Immunocytochemical analysis of latissimus dorsi, using monoclonal antibodies to slow and fast myosin heavy chains, indicated an increase in t...

    journal_title:International journal of cardiology

    pub_type: 杂志文章


    authors: Cumming DV,Pattison CW,Lovegrove CA,Dewar A,Dunn MJ,Goldspink G,Yacoub M

    更新日期:1991-02-01 00:00:00

  • Short-term progress of patients with self-limited first episode atrial fibrillation.

    abstract::Clear guidelines are lacking for the management of the clinical pattern of first-episode type atrial fibrillation (AF). We retrospectively analysed the clinical evolution of patients with self-limited first episode AF identified from among from 200 patients who had been hospitalised in our cardiology ward with AF. Of ...

    journal_title:International journal of cardiology

    pub_type: 信件


    authors: Vázquez E,Márquez-García A

    更新日期:2007-10-01 00:00:00

  • Increased risk of cardiac death in primary hyperparathyroidism: what is a role of electrical instability?

    abstract:BACKGROUND:Increased risk of death in patients with primary hyperparathyroidism (PHPT) is referred to cardiovascular complications induced by hypercalcemia. At the moment the role of bioelectrical risk and of enhanced sympathetic activity, not related to cardiovascular complications, is unknown in PHPT patients. METHO...

    journal_title:International journal of cardiology

    pub_type: 信件


    authors: Curione M,Letizia C,Amato S,Di Bona S,Di Fazio F,Minisola S,Mazzuoli G,D'Erasmo E

    更新日期:2007-10-01 00:00:00

  • Increased levels of C-reactive protein and fibrinogen influence the risk of vascular events in patients with NIDDM.

    abstract:AIM:To evaluate the predictive role of hs-CRP and fibrinogen for cardio- and cerebrovascular events in a population of patients with type 2 diabetes. METHODS:We studied 156 patients with type 2 diabetes, mean age 66+10 years, and 156 sex and age matched control subjects. Patients underwent physical examination, EKG, m...

    journal_title:International journal of cardiology

    pub_type: 杂志文章


    authors: Coppola G,Corrado E,Muratori I,Tantillo R,Vitale G,Lo Coco L,Novo S

    更新日期:2006-01-04 00:00:00

  • Low socioeconomic status of a patient's residential area is associated with worse prognosis after acute myocardial infarction in Sweden.

    abstract:INTRODUCTION:Previous studies have established a relationship between socioeconomic status (SES) and survival in coronary heart disease. Acute cardiac care in Sweden is considered to be excellent and independent of SES. We studied the influence of area-level socioeconomic status on mortality after hospitalization for a...

    journal_title:International journal of cardiology

    pub_type: 杂志文章


    authors: Bergström G,Redfors B,Angerås O,Dworeck C,Shao Y,Haraldsson I,Petursson P,Milicic D,Wedel H,Albertsson P,Råmunddal T,Rosengren A,Omerovic E

    更新日期:2015-03-01 00:00:00

  • Malignant pheochromocytoma.

    abstract::We present an interesting case of paroxysmal hypertension in a young male caused by malignant pheochromocytoma. This patient, who had history of paroxysms of abdominal pain with severe hypertension, developed osseous metastasis in the first lumbar vertebra resulting in collapse of the vertebra and it caused paraplegia...

    journal_title:International journal of cardiology

    pub_type: 杂志文章


    authors: Pande AK

    更新日期:1992-03-01 00:00:00

  • Recovery of electrophysiological parameters after conversion of atrial fibrillation.

    abstract::We investigated the recovery of electrophysiological parameters from electrical remodeling after conversion of chronic lone atrial fibrillation in humans. Clinical studies have shown that the longer atrial fibrillation lasts, the more difficult it becomes to maintain the sinus rhythm after cardioversion. To explore th...

    journal_title:International journal of cardiology

    pub_type: 杂志文章


    authors: Sato T,Mitamura H,Kurita Y,Takeshita A,Shinagawa K,Miyoshi S,Kanki H,Hara M,Takatsuki S,Soejima K,Ogawa S

    更新日期:2001-07-01 00:00:00

  • Cross-talk between mineralocorticoid receptor/angiotensin II type 1 receptor and mitogen-activated protein kinase pathways underlies aldosterone-induced atrial fibrotic responses in HL-1 cardiomyocytes.

    abstract:BACKGROUND:Aldosterone is increasingly recognized for its involvement in atrial structural remodeling. However, the precise molecular mechanisms and signal pathways underlying aldosterone-induced atrial fibrosis are unknown. METHODS:Western blotting was used to investigate the effects of aldosterone on the expression ...

    journal_title:International journal of cardiology

    pub_type: 杂志文章


    authors: Tsai CF,Yang SF,Chu HJ,Ueng KC

    更新日期:2013-10-25 00:00:00

  • Comprehensive analysis of intravascular ultrasound and angiographic morphology of culprit lesions between ST-segment elevation myocardial infarction and non-ST-segment elevation acute coronary syndrome.

    abstract:BACKGROUND:Some plaques lead to ST-segment elevation myocardial infarction (STEMI), whereas others cause non-ST-segment elevation acute coronary syndrome (NSTEACS). We used angiography and intravascular ultrasound (IVUS) to investigate the difference of culprit lesion morphologies in ACS. METHODS:Consecutive 158 ACS p...

    journal_title:International journal of cardiology

    pub_type: 杂志文章


    authors: Takaoka N,Tsujita K,Kaikita K,Hokimoto S,Mizobe M,Nagano M,Horio E,Sato K,Nakayama N,Yoshimura H,Yamanaga K,Komura N,Kojima S,Tayama S,Nakamura S,Ogawa H

    更新日期:2014-02-15 00:00:00

  • Worldwide patterns of ischemic heart disease mortality from 1980 to 2010.

    abstract:BACKGROUND:The trends in the IHD mortality rates vary widely across countries, reflecting the heterogeneity in the variation of the exposure to the main risk factors and in the access to different management strategies among settings. We aimed to identify model-based patterns in the time trends in IHD mortality in 50 c...

    journal_title:International journal of cardiology

    pub_type: 杂志文章


    authors: Gouvinhas C,Severo M,Azevedo A,Lunet N

    更新日期:2014-01-01 00:00:00

  • Regional cardioprotection by subselective intracoronary nifedipine is not due to enhanced collateral flow during coronary angioplasty.

    abstract::Twelve patients with proximal stenosis of the left anterior descending artery, normal myocardial wall motion but without angiographically demonstrable collateral circulation, were studied during transluminal occlusion. Prior to the first transluminal occlusion before crossing the lesion with the balloon, patients were...

    journal_title:International journal of cardiology

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Pop G,Serruys PW,Piscione F,de Feyter PJ,van den Brand M,Huizer T,de Jong JW,Hugenholtz PG

    更新日期:1987-07-01 00:00:00

  • Endocarditis due to Acinetobacter lwoffi on native mitral valve.

    abstract::Endocarditis due to Acinetobacter is a rare pathology with high mortality, reported mainly in hospitalized patients with predisposing risk factors. This is the second case of endocarditis due to Acinetobacter reported in our country in the last 10 years. ...

    journal_title:International journal of cardiology

    pub_type: 杂志文章


    authors: Valero C,Fariñas MC,García Palomo D,Mazarrasa JC,González Macías J

    更新日期:1999-04-30 00:00:00

  • Corticosteroid administration for patients with coronary artery aneurysms after Kawasaki disease may be associated with impaired regression.

    abstract:INTRODUCTION:Corticosteroid administration in Kawasaki disease (KD) is controversial but accepted as treatment for patients who do not respond to initial treatment. The impact of corticosteroids on evolving coronary artery aneurysms (CAA) and future vascular remodelling is unknown. METHODS AND RESULTS:The clinical his...

    journal_title:International journal of cardiology

    pub_type: 杂志文章


    authors: Millar K,Manlhiot C,Yeung RS,Somji Z,McCrindle BW

    更新日期:2012-01-12 00:00:00

  • Advances in the diagnostic management of arrhythmogenic right ventricular dysplasia-cardiomyopathy.

    abstract::Latest advances in the diagnostic management of arrhythmogenic right ventricular dysplasia-cardiomyopathy (ARVD/C) confirm that ARVD/C is not a rare disease (one affected in 1000-1250 inhabitants) and is of familial origin in 50-80% of cases. Diagnostic criteria defined in 1994 lead to low rates in the diagnosis of AR...

    journal_title:International journal of cardiology

    pub_type: 杂志文章,评审


    authors: Peters S

    更新日期:2006-10-26 00:00:00

  • Dutch survey of congenital coronary artery fistulas in adults: coronary artery-left ventricular multiple micro-fistulas multi-center observational survey in the Netherlands.

    abstract:BACKGROUND:Congenital coronary artery-left ventricular multiple micro-fistulas (CA-LVMMFs) in adults are rare anomalies. They may cause angina pectoris and myocardial infarction in association with normal coronary arteries. METHODS AND RESULTS:From the medical databases of a Dutch Survey of coronary artery fistulas in...

    journal_title:International journal of cardiology

    pub_type: 杂志文章,多中心研究


    authors: Said SA,van der Werf T

    更新日期:2006-06-07 00:00:00

  • Myocardial necrosis in both left and right ventricles detected by delayed-enhanced magnetic resonance imaging in a patient with isolated noncompaction of the ventricular myocardium.

    abstract::A 58-year-old man presented with left ventricular failure. Coronary angiography revealed normal coronary arteries and endomyocardial biopsy from the right ventricular apex was normal. Echocardiogram showed marked trabeculation and deep intertrabecular recesses most prominent in the left ventricular apex, anterior and ...

    journal_title:International journal of cardiology

    pub_type: 信件


    authors: Matsumoto N,Sato Y,Kasama S,Matsuo S,Kunimasa T,Yoda S,Tani S,Kunimoto S,Saito S,Hirayama A

    更新日期:2009-04-17 00:00:00

  • Reference values for left and right ventricular trabeculation and non-compacted myocardium.

    abstract:BACKGROUND:Since the differentiation between physiological and pathological trabeculation is challenging, we assessed its distribution in a reference population of selected healthy volunteers. METHODS:We studied 117 subjects (58 males) stratified into age tertiles and by gender. Cardiovascular magnetic resonance image...

    journal_title:International journal of cardiology

    pub_type: 杂志文章


    authors: André F,Burger A,Loßnitzer D,Buss SJ,Abdel-Aty H,Gianntisis E,Steen H,Katus HA

    更新日期:2015-04-15 00:00:00

  • Combinations of bleeding and ischemic risk and their association with clinical outcomes in acute coronary syndrome.

    abstract:BACKGROUND:Clinical predictors of future ischemic events in patients with acute coronary syndrome (ACS) are also risk factors for bleeding, with patients often at high-risk of both outcomes. We aimed to define the clinical outcomes and provision of guideline-recommended care in ACS management for different combinations...

    journal_title:International journal of cardiology

    pub_type: 杂志文章


    authors: Mohamed MO,Kinnaird T,Anderson R,Rashid M,Martin GP,Freeman P,Kwok CS,Myint PK,Zaman AG,Mamas MA

    更新日期:2019-09-01 00:00:00

  • Effects of chronic kidney disease on clinical outcomes in patients with peripheral artery disease undergoing endovascular treatment: Analysis from the K-VIS ELLA registry.

    abstract:OBJECTIVES:Chronic kidney disease (CKD) is a risk factor for peripheral artery disease (PAD), but the impact of CKD in PAD patients who received endovascular treatment (EVT) is not well studied. Aim of this study is to clarify the impact of CKD in patients with PAD in real EVT era. METHODS:Using the Korean Vascular In...

    journal_title:International journal of cardiology

    pub_type: 杂志文章,多中心研究


    authors: Kim HO,Kim JM,Woo JS,Choi D,Ko YG,Ahn CM,Lee SW,Lee JH,Choi SH,Yu CW,Min PK,Yoon CH,Chae IH,Lee SR,Koh YS,Kim W,other The Korean Vascular Intervention Society (K-VIS) Endovascular therapy in Lower Limb Artery diseases reg

    更新日期:2018-07-01 00:00:00

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    journal_title:International journal of cardiology

    pub_type: 杂志文章


    authors: Puddu PE,Piras P,Menotti A

    更新日期:2016-09-15 00:00:00

  • Surgical repair of post-infarction ventricular septal defect: 19 years of experience.

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    journal_title:International journal of cardiology

    pub_type: 杂志文章


    authors: Mantovani V,Mariscalco G,Leva C,Blanzola C,Sala A

    更新日期:2006-04-04 00:00:00

  • Achieving contrast-free ultra-low radiation exposure without compromising safety and acute efficacy through evolving AF cryoballoon ablation procedure techniques.

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    journal_title:International journal of cardiology

    pub_type: 杂志文章


    authors: Reiss J,O'Connell H,Getman MK

    更新日期:2020-01-15 00:00:00

  • Left main coronary artery aneurysm.

    abstract::Left main coronary artery aneurysm is rare finding at coronary angiography. We report a case of a large left main coronary artery aneurysm in a 59-year-old male who had cardiac catheterization for effort angina and inducible myocardial ischemia. ...

    journal_title:International journal of cardiology

    pub_type: 信件


    authors: Gowda RM,Dogan OM,Tejani FH,Khan IA

    更新日期:2005-10-20 00:00:00

  • Temporal trends of atrial fibrillation and/or rheumatic heart disease-related ischemic stroke, and anticoagulant use in Chinese population: An 8-year study.

    abstract:BACKGROUND AND PURPOSE:Underuse of anticoagulants in ischemic stroke patients with atrial fibrillation (AF) and/or rheumatic heart disease (RHD) is a global concern, especially in China. However, the extent to which anticoagulants are underused in AF and/or RHD-related ischemic stroke in China has not been well charact...

    journal_title:International journal of cardiology

    pub_type: 杂志文章


    authors: Liu J,Wang Y,Guo W,Cheng Y,Zhang S,Wu B,Liu M

    更新日期:2021-01-01 00:00:00

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    journal_title:International journal of cardiology

    pub_type: 信件,随机对照试验


    authors: Psychari SN,Apostolou TS,Iliodromitis EK,Charalampopoulos A,Kremastinos DT

    更新日期:2010-10-08 00:00:00

  • A wearable remote monitoring system for the identification of subjects with a prolonged QT interval or at risk for drug-induced long QT syndrome.

    abstract:BACKGROUND:A correct measurement of the QT interval in the out-of-hospital setting is important whenever the long QT syndrome (LQTS) is suspected or a therapy might lead to drug-induced LQTS (diLQTS) because QT interval monitoring in the initial days of therapy could alert to dangerous QT prolongation. We explored whet...

    journal_title:International journal of cardiology

    pub_type: 杂志文章


    authors: Castelletti S,Dagradi F,Goulene K,Danza AI,Baldi E,Stramba-Badiale M,Schwartz PJ

    更新日期:2018-09-01 00:00:00