A dilemma regarding the treatment of emergency percutaneous coronary intervention patients with prior contrast reaction: What can we do to prevent “one lethal reaction”?

With the advances in medical imaging for diagnostic purposes and catheter intervention, the opportunities of using iodine contrast media (ICM) have been increasing during the last few decades [1,2]. Administration of ICM may cause immediate (5 –60 min) and delayed (several hours–1 week) side effects [3]. ICM adverse reactions and symptoms vary from mild, like urticaria and nausea, to rare but severe, like cardiopulmonary arrest. Therefore, premedication with steroids for patients with prior contrast reaction may be attempted to re duce the risk of recurrent ICM reactions.
Source: International Journal of Cardiology - Category: Cardiology Authors: Tags: Editorial Source Type: research