Reply to the letter: “Kounis syndrome: Towards a new classification”

We have read with great interest the letter entitled “Kounis syndrome: towards a new classification”. The authors have presented a new proposal based on the classification of Kounis syndrome (KS) according to whether it is myocardial necrosis markers are positive or not. However, we have some concerns with this new classification proposal. As know n, myocardial necrosis markers (such as troponin) can be positive in all types of KS. Furthermore, most electrocardiogram and echocardiography signs (such as ST segment elevation, ST segment depression, left ventricular wall motion abnormalities) are common to all KS types.
Source: International Journal of Cardiology - Category: Cardiology Authors: Tags: Letter to the Editor Source Type: research