The adverse reactions to contrast media during percutaneous coronary interventions; keep in mind the non-idiosyncratic reactions.

Abstract

Iodinated contrast media are of paramount importance in the field of modern interventional cardiology. Although iodinated contrast media have an overall good safety profile, severe or life-threatening reactions can also occur. Herein, we report the case of a 74-year-old female patient who presented with non-ST elevation myocardial infarction and underwent a successful percutaneous coronary intervention. Shortly after the procedure the patient developed the full-blown clinical picture of an iodinated contrast media adverse reaction that was timely recognized and treated. The two types of adverse reactions to iodinated contrast media during a percutaneous coronary intervention are being discussed. A high level of clinical suspicion is warranted to ensure prompt recognition and appropriate management. I n T R o d u C T I o n Organic radiographic iodinated contrast media (ICM) have been among the most commonly used agents in the modern era of medicine and have become of paramount importance in the field of interventional cardiology. Although ICM have a good safety record, with usually mild and self-limited adverse effects, severe or life-threatening reactions can also occur. Therefore, physicians should be able to immediately recognize and treat the severe reactions of ICM.