Podcast #286: Coronary Vascular Conditions that aren't STEMI

Podcast #286: Coronary Vascular Conditions that aren't STEMI

Author: Don Stader, M.D.

Educational Pearls

  • While we usually associate the coronary vasculature with STEMIs, there are other pathologies that can affect the heart's blood supply.
  • Kounis syndrome: an allergic vasospasm of the coronary arteries. This can happen post anaphylaxis or be caused by a stent allergy. It is best treated with aggressive management of the allergic reaction.
  • Kawasaki disease: An autoimmune condition that presents in kids as conjunctivitis, lymphadenopathy, hand/foot swelling, rash, and fever. It can also cause coronary aneurysms, which can rupture and be rapidly fatal.
  • Prinzmetal angina: Caused by coronary vasospasm. Presents with transient chest pain at rest. Treat with CCBs.
  • Cocaine: Causes coronary vasospasm. Cocaine-induced vasospasm is best treated with BZDs.
  • Coronary artery dissection: increased risk in pregnant women and those with connective tissue disorders.

References: Memon S, Chhabra L, Masrur S, Parker MW. Allergic acute coronary syndrome (Kounis syndrome). Proceedings (Baylor University Medical Center). 2015;28(3):358-362.

Episoder(1146)

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Podcast # 367: Digital Necrosis after Epinephrine Drip

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Podcast # 366: Ehlers Danlos

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Podcast # 365: Renal Trigger Point Injections

Podcast # 365: Renal Trigger Point Injections

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Podcast # 364: Other causes of ST elevation

Podcast # 364: Other causes of ST elevation

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Podcast # 363:  Ketamine for Alcohol Withdrawal

Podcast # 363: Ketamine for Alcohol Withdrawal

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Podcast # 362: Giant Hogweed

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Podcast # 361: Vertiginous Dizziness

Podcast # 361: Vertiginous Dizziness

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Podcast # 360: Epidural Abscess Screening

Podcast # 360: Epidural Abscess Screening

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