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Journal of The Korean Society of Emergency Medicine 1994;5(1): 80-86. |
| REVERSIBLE ACUTE CARDIAC INJURY DURING IODINATED CONTRAST MEDIUM-INDUCED ANAPHYLAXIS |
| Kyu Nam Park1, Won Jae Lee1, Keun Woo Im1, Se Kyung Kim1, Dong Hun Kang2 |
1Department of Emergency Medicine Catholic University Medical College
2Department of Internal Medicine Catholic University Medical College |
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Published online: July 31, 1994. |
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| ABSTRACT |
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The relationship between anaphylaxis and various cardiovascular abnomalities has been recognized since 1910. Since that time, many authors have reported various electrocardiographic aberrations associated with anapylaxis. At present, exact mechanism of electrocardiographic change associated with anaphylaxis is unclear. Recently there was a case of nearly fatal cardiovascular collapse and markedly ST segment elevation arrival at ER, there was marked ST elevation on ECG monitoring with urticaria, flushing, chest pain and hypotension. One hour after administration of antihistamine, steroid and epinephrine, ST elevation was normalized. He recovered normal cardiovascular function and discharged on his foot. |
| Key words:
Contrast Medium, Anaphylaxis, Cardiovascular Collapse, EKG change |
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