{"id":2640,"date":"2025-01-07T14:12:38","date_gmt":"2025-01-07T13:12:38","guid":{"rendered":"https:\/\/prjxgjwpoh.onrocket.site\/?p=2640"},"modified":"2025-04-28T09:43:53","modified_gmt":"2025-04-28T08:43:53","slug":"le-syndrome-de-kounis-un-syndrome-coronarien-aigu-qui-mele-cardiologie-et-allergies","status":"publish","type":"post","link":"https:\/\/vitalstoday.com\/fr\/salud\/sindrome-de-kounis-el-sindrome-coronario-agudo-que-funde-la-cardiologia-y-las-alergias\/","title":{"rendered":"Syndrome de Kounis\u00a0: le syndrome coronarien aigu qui m\u00eale cardiologie et allergies"},"content":{"rendered":"<p>D\u00e9crit en 1991 par Kounis et Zavras comme un syndrome d&#039;angine allergique pouvant entra\u00eener un infarctus du myocarde secondaire \u00e0 une r\u00e9action allergique \u00e0 la p\u00e9nicilline.<\/p>\n\n\n\n<p>Par la suite, d\u2019autres causes ont \u00e9t\u00e9 identifi\u00e9es : d\u2019autres antibiotiques, le <a href=\"https:\/\/vitalstoday.com\/fr\/soulagement-de-la-douleur\/utilisation-posologie-et-precautions-demploi-de-lantalgin\/\">m\u00e9tamizole<\/a>, les anti-inflammatoires non st\u00e9ro\u00efdiens, les cortico\u00efdes, les anesth\u00e9siques g\u00e9n\u00e9raux, les produits de contraste radiologique, les inhibiteurs de la pompe \u00e0 protons, les thrombolytiques, les anticoagulants, certains aliments, les piq\u00fbres d\u2019hym\u00e9nopt\u00e8res, la mastocytose, ainsi que les stents intracoronaires actifs, entre autres.\u00a0<em>stents<\/em>\u00a0m\u00e9dicament actif intracoronaire, etc.<\/p>\n\n\n\n<p>En r\u00e9sum\u00e9, le syndrome de Kounis<strong> <\/strong>Il s&#039;agit d&#039;un syndrome coronarien aigu (SCA) qui comprend : un spasme coronarien, un infarctus aigu du myocarde et\/ou une thrombose de stent, associ\u00e9s \u00e0 l&#039;activation des mastocytes et des plaquettes lors d&#039;\u00e9pisodes anaphylactiques ou anaphylacto\u00efdes.<\/p>\n\n\n\n<p>La d\u00e9granulation des mastocytes avec lib\u00e9ration dans la circulation syst\u00e9mique de multiples m\u00e9diateurs vasoactifs, tels que l&#039;histamine et les leucotri\u00e8nes (puissants vasoconstricteurs coronaires), et la tryptase et la chymase (qui induisent l&#039;\u00e9rosion ou la rupture des plaques d&#039;ath\u00e9roscl\u00e9rose), constitue le m\u00e9canisme physiopathologique impliqu\u00e9 dans l&#039;\u00e9v\u00e9nement coronarien.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-clasificacion\"><strong>Classification<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Type I (majorit\u00e9 72%) sans maladie coronarienne ant\u00e9rieure : il est d\u00fb \u00e0 un spasme coronarien qui produit des modifications \u00e9lectrocardiographiques secondaires \u00e0 une isch\u00e9mie, les enzymes cardiaques peuvent \u00eatre normales ou refl\u00e9ter une progression vers un infarctus aigu du myocarde.<\/li>\n\n\n\n<li>Type II avec ant\u00e9c\u00e9dents de maladie coronarienne\u00a0: \u00e9rosion ou rupture de la plaque d\u2019ath\u00e9rome, provoquant un infarctus aigu du myocarde.<\/li>\n\n\n\n<li>Patients de type III pr\u00e9sentant une thrombose de la\u00a0<em>stents<\/em>\u00a0principes actifs.<\/li>\n<\/ul>\n\n\n\n<p>Le diagnostic est avant tout clinique et repose sur la suspicion. Une r\u00e9action allergique aigu\u00eb associ\u00e9e \u00e0 un SCA doit faire \u00e9voquer un <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6791094\/#:~:text=Kounis%20syndrome%20(KS)%20has%20been,coronary%20artery%20disease%20(CAD).\">syndrome de Kounis (SK).<\/a><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-pruebas-diagnosticas\">tests diagnostiques<\/h3>\n\n\n\n<p>\u2013 \u00c9lectrocardiogramme et dosage des enzymes cardiaques\u00a0: sus-d\u00e9calage du segment ST, qui peut \u00eatre normal ou non sp\u00e9cifique\u00a0; \u00e9l\u00e9vation des enzymes cardiaques, qui peut \u00e9galement \u00eatre normale.,<\/p>\n\n\n\n<p>Dosage de la tryptase ou de l&#039;histamine plasmatiques. Une \u00e9l\u00e9vation de la tryptase s\u00e9rique est un marqueur de l&#039;activit\u00e9 des mastocytes et, lorsqu&#039;elle est \u00e9lev\u00e9e, elle confirme le diagnostic de r\u00e9action d&#039;hypersensibilit\u00e9. Il s&#039;agit du test le plus utile pour \u00e9tayer le diagnostic. L&#039;histamine a une demi-vie de seulement 60 minutes, avec un pic 5 \u00e0 10 minutes apr\u00e8s le d\u00e9but de la r\u00e9action. La tryptase atteint son pic 90 minutes apr\u00e8s le d\u00e9but de la r\u00e9action et reste \u00e9lev\u00e9e dans le sang pendant 6 \u00e0 9 heures.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-tratamiento\"><strong>Traitement<\/strong><\/h3>\n\n\n\n<p>Le traitement de cette affection est complexe. Les m\u00e9dicaments utilis\u00e9s pour traiter les r\u00e9actions allergiques peuvent aggraver les sympt\u00f4mes cardiaques (l&#039;adr\u00e9naline, m\u00e9dicament de choix en cas d&#039;anaphylaxie, peut provoquer des arythmies cardiaques, une vasoconstriction et prolonger l&#039;isch\u00e9mie), et les m\u00e9dicaments utilis\u00e9s pour le syndrome coronarien aigu (SCA) peuvent aggraver la r\u00e9action allergique. <\/p>\n\n\n\n<p>Il est donc n\u00e9cessaire de choisir et d&#039;utiliser les m\u00e9dicaments avec pr\u00e9caution afin d&#039;\u00e9viter une lib\u00e9ration accrue de m\u00e9diateurs ou une aggravation du vasospasme coronarien. Le traitement du sarcome de Kaposi requiert l&#039;\u00e9limination de l&#039;allerg\u00e8ne responsable, le traitement de l&#039;anomalie de l&#039;art\u00e8re coronaire (selon son type) et le traitement de la r\u00e9action allergique.<\/p>\n\n\n\n<p>En r\u00e8gle g\u00e9n\u00e9rale, la stabilisation h\u00e9modynamique, l&#039;oxyg\u00e9noth\u00e9rapie, l&#039;utilisation de corticost\u00e9ro\u00efdes, d&#039;antihistaminiques anti-H1 et anti-H2 et d&#039;antagonistes calciques non dihydropyridiniques sont recommand\u00e9es, ce qui peut constituer une bonne alternative aux b\u00eata-bloquants dans le traitement anti-isch\u00e9mique.<\/p>\n\n\n\n<p>L&#039;aspirine peut aggraver les r\u00e9actions allergiques en augmentant le taux de leucotri\u00e8nes. Son utilisation est d\u00e9conseill\u00e9e dans le cadre du syndrome SK (Syndrome de Klinefelter). Les nitrates peuvent aggraver l&#039;hypotension et la tachycardie. Ils sont sans danger tant que le patient n&#039;est pas hypotendu.<\/p>\n\n\n\n<p>La morphine peut provoquer la d\u00e9granulation des mastocytes et aggraver l&#039;anaphylaxie. Le fentanyl et ses d\u00e9riv\u00e9s, qui lib\u00e8rent moins d&#039;histamine, sont pr\u00e9f\u00e9rables. Les b\u00eata-bloquants peuvent aggraver le vasospasme et le bronchospasme.<\/p>\n\n\n\n<p>Dans le syndrome de Kounis, les alt\u00e9rations allergiques et coronariennes se confondent ; une fois la phase aigu\u00eb r\u00e9solue, ces patients doivent donc \u00eatre orient\u00e9s vers des examens sp\u00e9cialis\u00e9s en cardiologie et en allergologie.<\/p>\n\n\n\n<p>Enfin, il s&#039;agit d&#039;une pathologie pour laquelle le m\u00e9decin urgentiste doit faire preuve d&#039;une grande vigilance afin d&#039;\u00e9tablir un diagnostic et de prescrire un traitement appropri\u00e9.<\/p>","protected":false},"excerpt":{"rendered":"<p>Descrito en 1991&nbsp;por Kounis&nbsp;y Zavras como un&nbsp;s\u00edndrome&nbsp;de angina al\u00e9rgica que pod\u00eda llegar a producir infarto de miocardio secundario a una reacci\u00f3n al\u00e9rgica por penicilina. Posteriormente se conocieron diferentes causas: otros antibi\u00f3ticos, metamizol, antiinflamatorios no esteroideos, corticoides, anest\u00e9sicos generales, contrastes radiol\u00f3gicos, inhibidores de la bomba de protones, trombol\u00edticos, anticoagulantes, alimentos, picaduras de himen\u00f3pteros, mastocitosis,\u00a0stents\u00a0intracoronarios f\u00e1rmaco activo, [&hellip;]<\/p>\n","protected":false},"author":257725348,"featured_media":2649,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_stopmodifiedupdate":true,"_modified_date":"","_jetpack_memberships_contains_paid_content":false,"jnews-multi-image_gallery":[],"jnews_single_post":{"format":"standard","override":[{"template":"1","parallax":"1","layout":"right-sidebar","sidebar":"default-sidebar","second_sidebar":"default-sidebar","sticky_sidebar":"1","share_position":"float","share_float_style":"share-normal","show_share_counter":"1","show_view_counter":"1","show_featured":"1","show_post_meta":"1","show_post_author":"1","show_post_date":"1","post_date_format":"default","post_date_format_custom":"Y\/m\/d","show_post_reading_time":"1","post_reading_time_wpm":"300","post_calculate_word_method":"str_word_count","zoom_button_out_step":"2","zoom_button_in_step":"3","show_post_tag":"1","show_prev_next_post":"1","show_popup_post":"1","number_popup_post":"1","show_post_related":"1","show_inline_post_related":"1"}],"image_override":[{"single_post_thumbnail_size":"crop-500","single_post_gallery_size":"crop-500"}],"trending_post_position":"meta","trending_post_label":"Trending","sponsored_post_label":"Sponsored by","disable_ad":"0"},"jnews_primary_category":[],"jnews_override_counter":{"view_counter_number":"0","share_counter_number":"0","like_counter_number":"0","dislike_counter_number":"0"},"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[178],"tags":[226],"class_list":["post-2640","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-salud","tag-alergia"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>S\u00edndrome de Kounis: s\u00edntomas y cu\u00e1ndo sospecharlo<\/title>\n<meta name=\"description\" content=\"En una reacci\u00f3n al\u00e9rgica aguda con s\u00edndrome coronario agudo debe sospecharse s\u00edndrome de Kounis, sobre todo si la triptasa s\u00e9rica est\u00e1 elevada...\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/vitalstoday.com\/fr\/sante\/le-syndrome-de-kounis-un-syndrome-coronarien-aigu-qui-mele-cardiologie-et-allergies\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"S\u00edndrome de Kounis: s\u00edntomas y cu\u00e1ndo sospecharlo\" \/>\n<meta property=\"og:description\" content=\"En una reacci\u00f3n al\u00e9rgica aguda con s\u00edndrome coronario agudo debe sospecharse s\u00edndrome de Kounis, sobre todo si la triptasa s\u00e9rica est\u00e1 elevada...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/vitalstoday.com\/fr\/sante\/le-syndrome-de-kounis-un-syndrome-coronarien-aigu-qui-mele-cardiologie-et-allergies\/\" \/>\n<meta property=\"og:site_name\" content=\"Vitals Today\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/VitalsToday\/\" \/>\n<meta property=\"article:published_time\" content=\"2025-01-07T13:12:38+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-04-28T08:43:53+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/vitalstoday.com\/wp-content\/uploads\/2-4.png\" \/>\n\t<meta property=\"og:image:width\" content=\"900\" \/>\n\t<meta property=\"og:image:height\" content=\"600\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Dra. 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