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

Emergency Medical Minute

Content provided by medicalminute and Emergency Medical Minute. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by medicalminute and Emergency Medical Minute or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.

6+ y ago 4:13

M4A•Episode home

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.

1049 episodes

#Emergency Medicine #Science #Fitness #medicalminute #Emergency Medical Minute #Medicine #Emergency #Medical #Emergencymedicine #Podcasting Education #Health and Well-Being