<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1025-0255</journal-id>
<journal-title><![CDATA[Revista Archivo Médico de Camagüey]]></journal-title>
<abbrev-journal-title><![CDATA[AMC]]></abbrev-journal-title>
<issn>1025-0255</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Camagüey]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1025-02552020000200014</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[A propósito del síndrome de Kounis]]></article-title>
<article-title xml:lang="en"><![CDATA[Concerning about Kounis syndrome]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez-Morejón]]></surname>
<given-names><![CDATA[Amílcar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Moya]]></surname>
<given-names><![CDATA[Valentín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Consuegra-Espinosa]]></surname>
<given-names><![CDATA[Oelnis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Puerto-Pérez]]></surname>
<given-names><![CDATA[Tania]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Giro-Puig]]></surname>
<given-names><![CDATA[Diayenis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Brunet-Bernal]]></surname>
<given-names><![CDATA[Gerardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Camagüey Departamento de Clínica Médica ]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de Camagüey Hospital General Docente Martín Chang Puga de Nuevitas Servicio de Pediatría]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Ciencias Médicas de Villa Clara Cardiocentro Ernesto Che Guevara Servicio de Hemodinámica y Cardiología Intervencionista]]></institution>
<addr-line><![CDATA[Villa Clara ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de Ciencias Médicas de Camagüey Departamento de Informática Médica ]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad de Ciencias Médicas de Camagüey Hospital Oncológico Marie Curie Servicio de Medicina Oncológica]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<volume>24</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1025-02552020000200014&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1025-02552020000200014&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1025-02552020000200014&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento: el síndrome de Kounis se caracteriza por la aparición de eventos coronarios agudos en el contexto de una reacción de hipersensibilidad, descrito por Nicholas G Kounis y GM Zavras en 1991, los investigadores manifiestan que, aunque no es habitual su diagnóstico, pudiera no ser una afección rara, sino infradiagnosticada. En la actualidad se carece de guías de práctica clínica para su adecuado manejo.  Objetivo: actualizar los conocimientos sobre el síndrome de Kounis.  Métodos: se realizó una revisión bibliográfica a través de los motores de búsqueda en Internet, Google Scholar y ResearchGate, se consultaron las bases de datos Pubmed, SciELO y Clinicalkey. Se utilizó el descriptor en ciencia de salud: síndrome de Kounis para la obtención de la información en artículos de elevado índice de citación, publicados hasta mayo del 2019 en los idiomas español o inglés. Se seleccionaron 53 artículos como citas, la mayoría de los últimos cinco años, 30 fueron reportes de caso y se utilizaron cuatro libros.  Resultados: se aborda la evolución histórica del síndrome de Kounis desde su descripción inicial hasta la actualidad, así como su clasificación, manifestaciones clínicas, exámenes diagnósticos y tratamiento.  Conclusiones: el síndrome de Kounis pudiera no ser una afección rara, sino infradiagnosticada. Sus mecanismos fisiopatológicos son diversos, complejos y están en estudio. Para el diagnóstico, se debe tener un alto índice de sospecha en el contexto de un paciente con anafilaxia y síndrome coronario agudo, este se basará en una adecuada evaluación clínica y exámenes complementarios. El facultativo debe mostrar gran pericia a la hora de conciliar la terapia, pues los fármacos que se utilizan en el síndrome coronario agudo pueden empeorar la anafilaxia y viceversa. Se necesitan guías de práctica clínica para su adecuado manejo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background:  Kounis syndrome is characterized by the appearance of acute coronary events in the context of a hypersensitivity reaction, described by Nicholas G Kounis and GM Zavras in 1991, the researchers state that, although its diagnosis is unusual, it may not be a rare condition, but underdiagnosed. Currently, there are no clinical practice guidelines for proper management.  Objective:  to update knowledge about Kounis syndrome.  Methods:  a bibliographic review was performed through the Internet search engines, Google Scholar and ResearchGate, the Pubmed, SciELO and Clinicalkey databases were consulted. The descriptor in health science: Kounis syndrome was used to obtain the information in articles with a high citation index, published until May 2019 in the Spanish or English languages. From them, 53 quotes were selected for review, most of them from last five years, 30 were case reports, and four books were used.  Results:  the historical evolution of Kounis syndrome is addressed from its initial description to the present, as well as its classification, clinical manifestations, diagnostic tests and treatment.  Conclusions:  Kounis syndrome may not be a rare condition, but underdiagnosed. Its pathophysiological mechanisms are diverse, complex and are under study. For the diagnosis, a high index of suspicion must be taken in the context of a patient with anaphylaxis and acute coronary syndrome, this will be based on an adequate clinical evaluation and complementary examinations. The practitioner must show great expertise in reconciling therapy, since the drugs used in acute coronary syndrome can worsen anaphylaxis and vice versa. Clinical practice guidelines areneeded for proper management.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[DE KOUNIS/diagnóstico]]></kwd>
<kwd lng="es"><![CDATA[SÍNDROME DE KOUNIS/historia]]></kwd>
<kwd lng="es"><![CDATA[SÍNDROME DE KOUNIS/clasificación]]></kwd>
<kwd lng="es"><![CDATA[SÍNDROME DE KOUNIS/terapia]]></kwd>
<kwd lng="es"><![CDATA[SÍNDROME CORONARIO AGUDO/tratamiento farmacológico]]></kwd>
<kwd lng="en"><![CDATA[SYNDROME/diagnosis]]></kwd>
<kwd lng="en"><![CDATA[KOUNIS SYNDROME/history]]></kwd>
<kwd lng="en"><![CDATA[KOUNIS SYNDROME/classification]]></kwd>
<kwd lng="en"><![CDATA[KOUNIS SYNDROME/therapy]]></kwd>
<kwd lng="en"><![CDATA[ACUTE CORONARY SYNDROME/drug therapy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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