Protamine sulfate is considered a "life-saving" antidote for heparinized patients with major bleeds. Although the beneficial attributes and application of protamine sulfate in various clinical settings cannot be argued, it also has an impressive side-effect profile. Kounis syndrome (KS) is an acute coronary syndrome in the setting of an allergic reaction, which can be induced by numerous allergens. Herein, we report a case of KS secondary to the use of protamine sulfate after cryoablation for atrial fibrillation.
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Washington Univ, Sch Med, Dept Anesthesiol, Div Cardiothorac Anesthesia, St Louis, MO 63110 USAWashington Univ, Sch Med, Dept Anesthesiol, Div Cardiothorac Anesthesia, St Louis, MO 63110 USA
Fagley, Richard E.
Woodbury, Anna
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Washington Univ, Sch Med, Dept Anesthesiol, Div Cardiothorac Anesthesia, St Louis, MO 63110 USAWashington Univ, Sch Med, Dept Anesthesiol, Div Cardiothorac Anesthesia, St Louis, MO 63110 USA
Woodbury, Anna
Visuara, Alejo
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Washington Univ, Sch Med, Dept Anesthesiol, Div Cardiothorac Anesthesia, St Louis, MO 63110 USAWashington Univ, Sch Med, Dept Anesthesiol, Div Cardiothorac Anesthesia, St Louis, MO 63110 USA
Visuara, Alejo
Wall, Michael
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Washington Univ, Sch Med, Dept Anesthesiol, Div Cardiothorac Anesthesia, St Louis, MO 63110 USAWashington Univ, Sch Med, Dept Anesthesiol, Div Cardiothorac Anesthesia, St Louis, MO 63110 USA
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Univ Bologna, Dept Med & Surg Sci, Alma Mater Studiorum, Via Irnerio 48, I-40126 Bologna, BO, ItalyUniv Bologna, Dept Med & Surg Sci, Alma Mater Studiorum, Via Irnerio 48, I-40126 Bologna, BO, Italy
Raschi, Emanuel
Affini, Lorenzo Fertonani
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Univ Bologna, Dept Med & Surg Sci, Alma Mater Studiorum, Via Irnerio 48, I-40126 Bologna, BO, ItalyUniv Bologna, Dept Med & Surg Sci, Alma Mater Studiorum, Via Irnerio 48, I-40126 Bologna, BO, Italy
Affini, Lorenzo Fertonani
Antonazzo, Ippazio Cosimo
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Univ Bologna, Dept Med & Surg Sci, Alma Mater Studiorum, Via Irnerio 48, I-40126 Bologna, BO, ItalyUniv Bologna, Dept Med & Surg Sci, Alma Mater Studiorum, Via Irnerio 48, I-40126 Bologna, BO, Italy
Antonazzo, Ippazio Cosimo
Diemberger, Igor
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Univ Bologna, Dept Specialist Diagnost & Expt Med, Inst Cardiol, S Orsola Malpighi Univ Hosp,Alma Mater Studiorum, Bologna, ItalyUniv Bologna, Dept Med & Surg Sci, Alma Mater Studiorum, Via Irnerio 48, I-40126 Bologna, BO, Italy
Diemberger, Igor
Poluzzi, Elisabetta
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Univ Bologna, Dept Med & Surg Sci, Alma Mater Studiorum, Via Irnerio 48, I-40126 Bologna, BO, ItalyUniv Bologna, Dept Med & Surg Sci, Alma Mater Studiorum, Via Irnerio 48, I-40126 Bologna, BO, Italy
Poluzzi, Elisabetta
De Ponti, Fabrizio
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Univ Bologna, Dept Med & Surg Sci, Alma Mater Studiorum, Via Irnerio 48, I-40126 Bologna, BO, ItalyUniv Bologna, Dept Med & Surg Sci, Alma Mater Studiorum, Via Irnerio 48, I-40126 Bologna, BO, Italy