%0 Journal Article
%T Refractory Ventricular Fibrillation with Underlying Coronary Artery Disease after COVID-19 Vaccine-Kounis Syndrome or Coincidence
%A Elaine M. C. Chau
%J Case Reports in Clinical Medicine
%P 309-314
%@ 2325-7083
%D 2024
%I Scientific Research Publishing
%R 10.4236/crcm.2024.138037
%X A 63-year-old man with diabetes and asymptomatic coronary artery disease developed refractory ventricular arrhythmia at 20 hours at rest after his second COVID-19 vaccine. Despite significant stenosis in the coronary arteries, there was no evidence of acute or old myocardial infarction, heart failure, myocarditis or structural abnormalities on post-mortem to account for the substrate for the fatal arrhythmia. The refractory and incessant nature of the ventricular fibrillation and post-mortem finding of a grossly elevated unexplained IgE level (in the absence of acute myocardial infarction) suggested the possibility of Kounis Syndrome or allergic acute coronary syndrome.
%K Refractory Ventricular Fibrillation
%K COVID-19 Vaccine
%K Kounis Syndrome
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=135512