{
  "abstract": "Kounis syndrome (KS), also known as allergic angina, is a rare but serious condition defined by acute coronary syndrome occurring alongside a hypersensitivity reaction. We report the case of a 42-year-old male smoker who developed Type II KS after a hymenoptera sting. The patient came to the emergency department with a sudden decreased level of consciousness and retrosternal chest pain. Electrocardiography showed ST-segment elevation in the anterior leads, and coronary angiography revealed total proximal left anterior descending artery occlusion. Primary percutaneous coronary intervention (PCI) was performed successfully. Echocardiography documented a left ventricular ejection fraction (LVEF) of 35% with regional wall motion abnormalities, indicating significant myocardial injury. The patient was discharged with a treatment plan that included valsartan, spironolactone, bisoprolol, ticagrelor, acetylsalicylic acid, and atorvastatin. This case highlights the diagnostic and treatment challenges of KS and stresses the need for early recognition and a team-based approach to achieve better clinical results.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Cardiology, School of Medicine Zanjan University of Medical Science Zanjan Iran.",
    "Department of Medicine (HSRD), Baylor College of Medicine Houston Texas USA."
  ],
  "article_type": "case study",
  "arxiv": null,
  "author_total": 7,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Sara Tarkiani",
      "orcid": "0009-0006-2541-2847"
    },
    {
      "affs": [
        0
      ],
      "name": "Mobina Ghajar",
      "orcid": "0009-0007-4101-3317"
    },
    {
      "affs": [
        0
      ],
      "name": "Mohammad Hossein Sharifi Fard",
      "orcid": "0009-0006-8435-3509"
    },
    {
      "affs": [
        0
      ],
      "name": "Mohammad Ghasemi Palangi",
      "orcid": "0009-0006-8670-7294"
    },
    {
      "affs": [
        0
      ],
      "name": "Armin Bordbar"
    },
    {
      "affs": [
        0
      ],
      "name": "Hassan Ahangar"
    },
    {
      "affs": [
        1
      ],
      "name": "Amin Ramezani",
      "orcid": "0009-0002-7952-3009"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/epkxs032n4rhy.bib",
  "cited_by": 0,
  "doi": "10.1002/ccr3.73799",
  "fulltext_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13717947/?tool=EBI",
  "id": "epkxs032n4rhy",
  "issns": [
    "2050-0904"
  ],
  "landing_url": "https://europepmc.org/article/PMC/PMC13717947",
  "language": "eng",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Case Report"
    ],
    [
      "openalex",
      "2705|Acute Myocardial Infarction Research"
    ]
  ],
  "openalex": "W7224291346",
  "pdf_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13717947/pdf/?tool=EBI",
  "pmcid": "PMC13717947",
  "pmid": "42960015",
  "published": "2026-10-29",
  "publisher": "Wiley",
  "ris": "https://research.draconitic.com/paper/epkxs032n4rhy.ris",
  "sources": [
    {
      "first_seen": "2026-10-31T00:20:37Z",
      "native_id": "PMC:PMC13717947",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13717947"
    },
    {
      "first_seen": "2026-11-01T00:20:50Z",
      "native_id": "MED:42960015",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42960015"
    },
    {
      "first_seen": "2026-11-02T12:22:08Z",
      "native_id": "PMC13717947",
      "source": "pmc",
      "url": "https://doi.org/10.1002/ccr3.73799"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2705|Acute Myocardial Infarction Research",
      "subfield": "cardiovascular"
    }
  ],
  "title": "A Rare Case Report of Type II Kounis Syndrome With Literature Review: Acute Anterior ST Elevation Myocardial Infarction Following Bee Sting",
  "title_text": "A Rare Case Report of Type II Kounis Syndrome With Literature Review: Acute Anterior ST Elevation Myocardial Infarction Following Bee Sting",
  "type": "peer-reviewed",
  "updated_at": "2026-11-02T12:22:08Z",
  "url": "https://research.draconitic.com/paper/epkxs032n4rhy",
  "venue": "Clinical case reports",
  "versions": []
}