Rapid Aspirin Challenge in Patients with Aspirin Allergy and Acute Coronary Syndromes
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  • 作者：Kevin A. Cook ; Andrew A. White
  • 关键词：Aspirin allergy ; Aspirin reaction ; Acute coronary syndrome ; Coronary artery disease ; Aspirin therapy ; Aspirin challenge ; Aspirin desensitization ; Aspirin benefit
  • 刊名：Current Allergy and Asthma Reports
  • 出版年：2016
  • 出版时间：February 2016
  • 年：2016
  • 卷：16
  • 期：2
  • 全文大小：1,891 KB
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  • 作者单位：Kevin A. Cook (1)
    Andrew A. White (1)

    1. Division of Allergy and Immunology, Scripps Green Hospital, La Jolla, CA, USA
  • 刊物主题：Allergology;
  • 出版者：Springer US
  • ISSN：1534-6315
    • 文摘
    Aspirin allergy in a patient with acute coronary syndrome represents one of the more urgent challenges an allergist may face. Adverse reactions to aspirin are reported in 1.5 % of patients with coronary artery disease. A history of adverse reaction to aspirin often leads to unnecessary withholding of this medication or use of alternative antiplatelet therapy which may be inferior or more costly. Aspirin therapy has been shown to reduce morbidity and mortality in patients with coronary artery disease. Rapid aspirin challenge/desensitization in the aspirin allergic patient has been consistently shown to be both safe and successful in patients with acute coronary syndromes.

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