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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Shanxi Sencond Provincal Peoples Hosp, Dept Cardiovasc Med, Xian 710005, Shaanxi, Peoples R ChinaShanxi Sencond Provincal Peoples Hosp, Dept Cardiovasc Med, Xian 710005, Shaanxi, Peoples R China
Yang, Xiaofei
Feng, Xiaozhi
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Yanan Univ, Affiliated Hosp, Dept Internal Med, Xian 716000, Shanxi, Peoples R ChinaShanxi Sencond Provincal Peoples Hosp, Dept Cardiovasc Med, Xian 710005, Shaanxi, Peoples R China
Feng, Xiaozhi
Duan, Feiru
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Xian Med Univ, Tradit Chinese Internal Med, Gaoxin Dist Campus, Xian 710075, Shaanxi, Peoples R ChinaShanxi Sencond Provincal Peoples Hosp, Dept Cardiovasc Med, Xian 710005, Shaanxi, Peoples R China
Duan, Feiru
Wang, Zhiyong
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Xi An Jiao Tong Univ, Tradit Chinese Med Dept, Affiliated Hosp 2, 157,Xiwu Rd, Xian 710004, Shanxi, Peoples R ChinaShanxi Sencond Provincal Peoples Hosp, Dept Cardiovasc Med, Xian 710005, Shaanxi, Peoples R China
Wang, Zhiyong
Raut, Monish S.
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Sir Ganga Ram Hosp, Dept Cardiac, Anesthesiol, New Delhi, IndiaShanxi Sencond Provincal Peoples Hosp, Dept Cardiovasc Med, Xian 710005, Shaanxi, Peoples R China
Raut, Monish S.
Swain, Baryon
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Sir Ganga Ram Hosp, Cardiac Surg, New Delhi, IndiaShanxi Sencond Provincal Peoples Hosp, Dept Cardiovasc Med, Xian 710005, Shaanxi, Peoples R China