Refractory Ventricular Fibrillation with Underlying Coronary Artery Disease after COVID-19 Vaccine-Kounis Syndrome or Coincidence  

作　　者：Elaine M. C. Chau Elaine M. C. Chau(Cardiology Centre, Hong Kong Sanatorium & Hospital, Hong Kong SAR, China)

机构地区：[1]Cardiology Centre, Hong Kong Sanatorium & Hospital, Hong Kong SAR, China

出　　处：《Case Reports in Clinical Medicine》2024年第8期309-314,共6页临床医学病理报告（英文）

摘　　要：A 63-year-old man with diabetes and asymptomatic coronary artery disease developed refractory ventricular arrhythmia at 20 hours at rest after his second COVID-19 vaccine. Despite significant stenosis in the coronary arteries, there was no evidence of acute or old myocardial infarction, heart failure, myocarditis or structural abnormalities on post-mortem to account for the substrate for the fatal arrhythmia. The refractory and incessant nature of the ventricular fibrillation and post-mortem finding of a grossly elevated unexplained IgE level (in the absence of acute myocardial infarction) suggested the possibility of Kounis Syndrome or allergic acute coronary syndrome.A 63-year-old man with diabetes and asymptomatic coronary artery disease developed refractory ventricular arrhythmia at 20 hours at rest after his second COVID-19 vaccine. Despite significant stenosis in the coronary arteries, there was no evidence of acute or old myocardial infarction, heart failure, myocarditis or structural abnormalities on post-mortem to account for the substrate for the fatal arrhythmia. The refractory and incessant nature of the ventricular fibrillation and post-mortem finding of a grossly elevated unexplained IgE level (in the absence of acute myocardial infarction) suggested the possibility of Kounis Syndrome or allergic acute coronary syndrome.

关 键 词：Refractory Ventricular Fibrillation COVID-19 Vaccine Kounis Syndrome 

分 类 号：R54[医药卫生—心血管疾病]