Delayed Allergic Reaction After Coronary Angiography
Abstract Contrast-enhanced angiography is a very useful tool for the diagnosis and evaluation of vascular diseases. Contrast media (CM) were first introduced in the 1930s and since then they have become an important diagnostic method. Nonetheless, using CM have their price, as some patients may deve...
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Veröffentlicht in: | The American journal of the medical sciences 2011-07, Vol.342 (1), p.86-88 |
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creator | Zafrir, Yaron, MD Szyper-Kravitz, Martine, MD Agmon-Levin, Nancy, MD |
description | Abstract Contrast-enhanced angiography is a very useful tool for the diagnosis and evaluation of vascular diseases. Contrast media (CM) were first introduced in the 1930s and since then they have become an important diagnostic method. Nonetheless, using CM have their price, as some patients may develop adverse reactions to them. These reactions to CM are divided into chemotoxic and allergic/pseudoallergic. Both reactions range in their time of appearance, clinical manifestations, severity, pathomechanisim, diagnostic methods and the way they are managed. Late adverse reactions to CM may be easily overlooked as they are less reported. In the present case report, the authors present a patient who developed a delayed response to nonionic CM used during an elective coronary angiography, followed by a review of the current literature and suggested recommendations. |
doi_str_mv | 10.1097/MAJ.0b013e31821ad605 |
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Contrast media (CM) were first introduced in the 1930s and since then they have become an important diagnostic method. Nonetheless, using CM have their price, as some patients may develop adverse reactions to them. These reactions to CM are divided into chemotoxic and allergic/pseudoallergic. Both reactions range in their time of appearance, clinical manifestations, severity, pathomechanisim, diagnostic methods and the way they are managed. Late adverse reactions to CM may be easily overlooked as they are less reported. In the present case report, the authors present a patient who developed a delayed response to nonionic CM used during an elective coronary angiography, followed by a review of the current literature and suggested recommendations.</description><identifier>ISSN: 0002-9629</identifier><identifier>EISSN: 1538-2990</identifier><identifier>DOI: 10.1097/MAJ.0b013e31821ad605</identifier><identifier>PMID: 21642813</identifier><identifier>CODEN: AJMSA9</identifier><language>eng</language><publisher>Hagerstown, MD: Elsevier Inc</publisher><subject>Adverse reactions ; Allergic reaction ; Biological and medical sciences ; Cardiovascular system ; Contrast media ; Contrast Media - adverse effects ; Contrast-enhanced angiography ; Coronary angiography ; Coronary Angiography - adverse effects ; Drug Hypersensitivity - etiology ; General aspects ; Humans ; Hypersensitivity - etiology ; Immunoglobulin E - metabolism ; Internal Medicine ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Medical sciences ; Middle Aged ; Radiodiagnosis. Nmr imagery. Nmr spectrometry ; Radiology, Interventional - methods ; Time Factors</subject><ispartof>The American journal of the medical sciences, 2011-07, Vol.342 (1), p.86-88</ispartof><rights>Southern Society for Clinical Investigation</rights><rights>2011 Southern Society for Clinical Investigation</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c395t-809bf7c8c3c2650c057749ea7e3472bc75be26d46eb54303a52a3cb1b78fcfea3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24322258$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21642813$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zafrir, Yaron, MD</creatorcontrib><creatorcontrib>Szyper-Kravitz, Martine, MD</creatorcontrib><creatorcontrib>Agmon-Levin, Nancy, MD</creatorcontrib><title>Delayed Allergic Reaction After Coronary Angiography</title><title>The American journal of the medical sciences</title><addtitle>Am J Med Sci</addtitle><description>Abstract Contrast-enhanced angiography is a very useful tool for the diagnosis and evaluation of vascular diseases. Contrast media (CM) were first introduced in the 1930s and since then they have become an important diagnostic method. Nonetheless, using CM have their price, as some patients may develop adverse reactions to them. These reactions to CM are divided into chemotoxic and allergic/pseudoallergic. Both reactions range in their time of appearance, clinical manifestations, severity, pathomechanisim, diagnostic methods and the way they are managed. Late adverse reactions to CM may be easily overlooked as they are less reported. In the present case report, the authors present a patient who developed a delayed response to nonionic CM used during an elective coronary angiography, followed by a review of the current literature and suggested recommendations.</description><subject>Adverse reactions</subject><subject>Allergic reaction</subject><subject>Biological and medical sciences</subject><subject>Cardiovascular system</subject><subject>Contrast media</subject><subject>Contrast Media - adverse effects</subject><subject>Contrast-enhanced angiography</subject><subject>Coronary angiography</subject><subject>Coronary Angiography - adverse effects</subject><subject>Drug Hypersensitivity - etiology</subject><subject>General aspects</subject><subject>Humans</subject><subject>Hypersensitivity - etiology</subject><subject>Immunoglobulin E - metabolism</subject><subject>Internal Medicine</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Radiodiagnosis. Nmr imagery. Nmr spectrometry</subject><subject>Radiology, Interventional - methods</subject><subject>Time Factors</subject><issn>0002-9629</issn><issn>1538-2990</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1v1DAQhi1ERZfCP0AoF8Qp7fgrTi5I0fJZFSHxcbacyWRxycZbO1tp_z2OdgGpF0724Zl5R8_L2AsOlxwac_W5vb6EDrgkyWvBXV-BfsRWXMu6FE0Dj9kKAETZVKI5Z09TugXgoubyCTsXvFLLd8XUWxrdgfqiHUeKG4_FV3I4-zAV7TBTLNYhhsnFQ9FOGx820e1-Hp6xs8GNiZ6f3gv24_277-uP5c2XD5_W7U2JstFzWUPTDQZrlCgqDQjaGNWQMySVER0a3ZGoelVRp5UE6bRwEjvemXrAgZy8YK-Pe3cx3O0pzXbrE9I4uonCPtnaSANGmTqT6khiDClFGuwu-m0-23Kwiy6bddmHuvLYy1PAvttS_3foj58MvDoBLqEbh-gm9Okfp6QQQi_5b44cZR33nqJN6GlC6n0knG0f_P8uebgARz_5nPmLDpRuwz5OWbXlNgkL9ttS7dJsrpsLLUD-BhoOm5s</recordid><startdate>20110701</startdate><enddate>20110701</enddate><creator>Zafrir, Yaron, MD</creator><creator>Szyper-Kravitz, Martine, MD</creator><creator>Agmon-Levin, Nancy, MD</creator><general>Elsevier Inc</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110701</creationdate><title>Delayed Allergic Reaction After Coronary Angiography</title><author>Zafrir, Yaron, MD ; Szyper-Kravitz, Martine, MD ; Agmon-Levin, Nancy, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c395t-809bf7c8c3c2650c057749ea7e3472bc75be26d46eb54303a52a3cb1b78fcfea3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adverse reactions</topic><topic>Allergic reaction</topic><topic>Biological and medical sciences</topic><topic>Cardiovascular system</topic><topic>Contrast media</topic><topic>Contrast Media - adverse effects</topic><topic>Contrast-enhanced angiography</topic><topic>Coronary angiography</topic><topic>Coronary Angiography - adverse effects</topic><topic>Drug Hypersensitivity - etiology</topic><topic>General aspects</topic><topic>Humans</topic><topic>Hypersensitivity - etiology</topic><topic>Immunoglobulin E - metabolism</topic><topic>Internal Medicine</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Radiodiagnosis. Nmr imagery. 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Contrast media (CM) were first introduced in the 1930s and since then they have become an important diagnostic method. Nonetheless, using CM have their price, as some patients may develop adverse reactions to them. These reactions to CM are divided into chemotoxic and allergic/pseudoallergic. Both reactions range in their time of appearance, clinical manifestations, severity, pathomechanisim, diagnostic methods and the way they are managed. Late adverse reactions to CM may be easily overlooked as they are less reported. In the present case report, the authors present a patient who developed a delayed response to nonionic CM used during an elective coronary angiography, followed by a review of the current literature and suggested recommendations.</abstract><cop>Hagerstown, MD</cop><pub>Elsevier Inc</pub><pmid>21642813</pmid><doi>10.1097/MAJ.0b013e31821ad605</doi><tpages>3</tpages></addata></record> |
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subjects | Adverse reactions Allergic reaction Biological and medical sciences Cardiovascular system Contrast media Contrast Media - adverse effects Contrast-enhanced angiography Coronary angiography Coronary Angiography - adverse effects Drug Hypersensitivity - etiology General aspects Humans Hypersensitivity - etiology Immunoglobulin E - metabolism Internal Medicine Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Middle Aged Radiodiagnosis. Nmr imagery. Nmr spectrometry Radiology, Interventional - methods Time Factors |
title | Delayed Allergic Reaction After Coronary Angiography |
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