Akbaş, TürkayKaya, AdnanAltun, GülşahEsbah, UmitÖnmez, Attila2023-07-262023-07-2620222186-33260027-7622https://doi.org/10.18999/nagjms.84.3.664https://hdl.handle.net/20.500.12684/12686Kounis syndrome (KS) is an acute coronary syndrome that occurs with allergic, hypersensitivity, anaphylactic, or anaphylactoid reactions associated with mast cell activation, and entails significant morbidity and mortality risks. We present four cases of acute coronary syndrome developing after insect bites, chemotherapy, and coronary stent implantation. Two patients were lost due to anaphylactic shock-related multiorgan failures and sudden cardiac death. Since a wide range of drugs, foods, environmental conditions, and disease states may be associated with KS, all physicians must be aware of the syndrome.en10.18999/nagjms.84.3.664info:eu-repo/semantics/closedAccessAllergic Reaction; Chest Pain; Coronary Vasospasm; Mast Cell ActivationArticle843664672362378952-s2.0-85137278208WOS:000860569900004Q4Q4