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Annals of allergy 1993-May

Myocardial infarction induced by coronary vasospasm after self-administration of epinephrine.

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R Saff
A Nahhas
J N Fink

Keywords

Abstract

A case of a 30-year-old man who developed a myocardial infarction after self-administering an Epi-Pen for an episode of idiopathic anaphylaxis is reported. The patient had numerous risk factors for coronary artery disease, and it was suspected that epinephrine-induced coronary spasm caused the infarct. The Epi-Pen Junior may be indicated in such adults with numerous risk factors for coronary artery disease who are at risk for recurrent anaphylaxis.

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