There are 3 variants of Kounis Syndrome (allergic angina syndrome, allergic coronary artery spasm).
Patient selection: Kounis syndrome present
Parameters:
(1) status of coronary arteries
(2) stent thrombosis
Status of Coronary Arteries
|
Stent Thrombosis
|
Type
|
normal or nearly normal
|
no stent
|
I
|
pre-existing atheromatous disease
|
no stent or absent
|
II
|
pre-existing atheromatous disease
|
present
|
III
|
The diagnosis of the Type III variant requires histologic demonstration of eosinophils or mast cells.