Stress-related cardiomyopathy due to anaphylaxis to iodinated contrast media during arteriography procedures in diabetic patient

Authors

  • Ketut Suryana Department of Internal Medicine, Medical Faculty of Udayana University-Sanglah Hospital in Denpasar, Bali, Indonesia
  • I Gede Yudha Kartika Residency Program of Internal Medicine, Faculty of Medicine Udayana University-Sanglah Hospital in Denpasar, Bali, Indonesia

DOI:

https://doi.org/10.18203/2320-6012.ijrms20220307

Keywords:

Anaphylaxis, Allergic reaction, Iodinated contras media, Adrenaline, SRC

Abstract

Anaphylaxis is an acute, severe systemic allergic reaction that can be potentially fatal. It can often transition to refractory hemodynamic instability (new onset myocardial dysfunction/ left ventricular dysfunction/LVD). Stress-related cardiomyopathy (SRC) is now emerging as a significant contributor of myocardial dysfunction and has multifactorial etiologies, including the excessive catecholamine released in intense stress conditions. It is also more likely to occur in middle aged/ postmenopausal woman. This rare case report, a SRC caused by contrast-induced anaphylaxis within 30 minutes post artheriography procedures. Management of anaphylaxis should be prompt and precise because it is considered as a medical emergency with a rapid onset of disease and potentially progress to cardiovascular and respiratory collapse causing death.

References

Schönmann C, Brockow K. Adverse reactions during procedures: Hypersensitivity to contrast agents and dyes. Ann Allergy Asthma Immunol. 2020;124(2):156-64.

Pasternak JJ, Williamson EE. Clinical pharmacology, uses, and adverse reactions of iodinated contrast agents: a primer for the non-radiologist. Mayo Clin Proc. 2012;87(4):390-402.

Cha MJ, Kang DY, Lee W, Yoon SH, Choi YH, Byun JS et al. Hypersensitivity reactions to iodinated contrast media: a multicenter study of 196 081 patients. Radiology. 2019;293(1):117-24.

Shaker MS, Wallace DV, Golden DBK, Oppenheimer J, Bernstein JA, Campbell RL et al. Anaphylaxis-a 2020 practice parameter update, systematic review, and Grading of Recommendations, Assessment, Development and Evaluation (GRADE) analysis. J Allergy Clin Immunol. 2020;145(4):1082-123.

Fischer D, Vander Leek TK, Ellis AK, Kim H. Anaphylaxis. Allergy Asthma Clin Immunol. 2018;14(2):54.

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Published

2022-01-29

How to Cite

Suryana, K., & Yudha Kartika, I. G. (2022). Stress-related cardiomyopathy due to anaphylaxis to iodinated contrast media during arteriography procedures in diabetic patient. International Journal of Research in Medical Sciences, 10(2), 537–540. https://doi.org/10.18203/2320-6012.ijrms20220307

Issue

Section

Case Reports