{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T19:25:17Z","timestamp":1790796317662,"version":"4.1.0"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2020,5,27]],"date-time":"2020-05-27T00:00:00Z","timestamp":1590537600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Kounis syndrome is the occurrence of acute coronary syndrome precipitated by an allergic reaction in the presence or absence of underlying coronary artery disease. The syndrome is explained by the effect of released inflammatory mediators on the coronary arteries and platelets.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case summary<\/jats:title><jats:p>We report an uncommon case of Kounis syndrome Type II in a 65-year-old man 24\u2009h after being bitten by a hymenoptera. Clinical context, electrocardiogram, coronary angiography, and enhanced cardiac magnetic resonance imaging (MRI) imaging modality are presented.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Awareness and understanding of this syndrome is essential for starting early and appropriate therapy, thereby preventing life-threatening events. Accordingly, we highlight the importance of enhanced cardiac MRI to complete the assessment of this entity.<\/jats:p><\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaa118","type":"journal-article","created":{"date-parts":[[2020,5,27]],"date-time":"2020-05-27T02:20:14Z","timestamp":1590546014000},"page":"1-5","source":"Crossref","is-referenced-by-count":4,"title":["Utility of enhanced cardiac magnetic resonance imaging in Kounis syndrome: a case report"],"prefix":"10.1093","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3338-0842","authenticated-orcid":false,"given":"Anthony","family":"Matta","sequence":"first","affiliation":[{"name":"Department of Cardiology, Faculty of Medicine, Holy Spirit University of Kaslik, Kaslik, Lebanon"},{"name":"Department of Cardiology, Institute CARDIOMET, CHU-Toulouse, University Hospital of Toulouse, H\u00f4pital Rangueil, 1 Avenue Jean Poulh\u00e8s, 31059 Toulouse, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0316-1523","authenticated-orcid":false,"given":"Khaled","family":"Elenizi","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Institute CARDIOMET, CHU-Toulouse, University Hospital of Toulouse, H\u00f4pital Rangueil, 1 Avenue Jean Poulh\u00e8s, 31059 Toulouse, France"},{"name":"Department of Internal Medicine, College of Medicine, Prince Sattam bin Abdulaziz University, Alkharj 11942, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederic","family":"Bouisset","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Institute CARDIOMET, CHU-Toulouse, University Hospital of Toulouse, H\u00f4pital Rangueil, 1 Avenue Jean Poulh\u00e8s, 31059 Toulouse, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4093-0435","authenticated-orcid":false,"given":"Jerome","family":"Roncalli","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Institute CARDIOMET, CHU-Toulouse, University Hospital of Toulouse, H\u00f4pital Rangueil, 1 Avenue Jean Poulh\u00e8s, 31059 Toulouse, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,6,9]]},"reference":[{"key":"2020101507145701900_ytaa118-B1","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1111\/j.1742-1241.1991.tb10251.x","article-title":"Histamine-induced coronary artery spasm: the concept of allergic angina","volume":"45","author":"Kounis","year":"1991","journal-title":"Br J Clin Pract"},{"key":"2020101507145701900_ytaa118-B2","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/j.ijcard.2005.08.007","article-title":"Kounis syndrome (allergic angina and allergic myocardial infarction): a natural paradigm?","volume":"110","author":"Kounis","year":"2006","journal-title":"Int J Cardiol"},{"key":"2020101507145701900_ytaa118-B3","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1016\/j.ijcard.2010.02.040","article-title":"Review treatment of kounis syndrom","volume":"143","author":"Cevik","year":"2010","journal-title":"Int J Cardiol"},{"key":"2020101507145701900_ytaa118-B4","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1186\/s13256-017-1310-7","article-title":"Management of Kounis syndrome: two case reports","volume":"11","author":"Omri","year":"2017","journal-title":"J Med Case Rep"},{"key":"2020101507145701900_ytaa118-B5","doi-asserted-by":"crossref","first-page":"e7","DOI":"10.1016\/j.ejim.2015.12.004","article-title":"Kounis syndrome: a concise review with focus on management","volume":"30","author":"Fassio","year":"2016","journal-title":"Eur J Intern Med"},{"key":"2020101507145701900_ytaa118-B6","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1007\/s10554-017-1116-0","article-title":"Role of cardiovascular magnetic resonance in acute and chronic ischemic heart disease","volume":"34","author":"Baritussio","year":"2018","journal-title":"Int J Cardiovasc Imaging"},{"key":"2020101507145701900_ytaa118-B7","first-page":"218","article-title":"The utility of cardiac magnetic resonance imaging in Kounis syndrome","volume":"3","author":"Okur","year":"2015","journal-title":"Postepy Kardiol Interwencyjnej"}],"container-title":["European Heart Journal - 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