Acute Myocardial Infarction Complicating Viper Bite

Blondheim, David; Plich, Michael; Berman, Michael R.; Khair, G.; Tzvig, Lubov; Ezri, Joseph; Marmor, Alon

doi:10.1016/s0002-9149(96)00347-5

Cited by 25 publications

(15 citation statements)

References 1 publication

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“…Most common cardiac manifestation was sinus tachycardia which was present in 27 patients. Even though there are earlier reports of myocardial infarction [7] [13], none of our patients had ST elevation in electrocardiogram suggestive myocardial infarction. Eleven patients had ST depression in either anterior or inferior leads which might be due to coronary artery involvement or myocartitis.…”

Section: Discussioncontrasting

confidence: 72%

“…This may occur in the form of sudden hypotension, cardiac arrhythmia, myocardial infarction and changes in the electrocardiogram mainly of ST segment and T wave. Many cases of myocardial infarction following snake bite have seen reported [6] [7]. Coronary angiogram showed normal coronaries except in case where segmental contraction of coronaries was present.…”

Section: Introductionmentioning

confidence: 97%

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A Study of Cardiac Profile in Patients with Snake Envenomation and Its Complications

Ramakrishna¹,

Kanattu²

2017

IJCM

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Background: Snake bite is a common and frequently devastating environmental and occupational disease, especially in rural areas of tropical developing countries. The present study was undertaken to evaluate the effect on cardiac profile in patients with snake envenomation and its complications. Methods: A total of 200 patients with snake envenomation were enrolled in this study excluding patients having history of any cardiovascular disease, renal disease, coagulopathy, liver disease, neuromuscular disease and those cases who bitten by non-poisonous snakes. All patients underwent physical examination, laboratory, Electrocardiogram (ECG), X-ray of chest and echocardiogram investigations. Results: A total of 200 cases had envenomation having 116 (58%) of male subjects. Most common local signs were edema 187 (93.5%), tenderness 141 (70.5%), skin necrosis 81 (40.5%) and blistering 12 (6%). Severity of local envenomation was graded into mild 66 (33%), moderate 120 (60%) and severe 14 (7%) cases. Systemic manifestations were present in 83 patients of venomous bites. It includes that majorly 53 (26.5%) cases had vomiting, 44 (22%) cases had abdominal pain and 9 (4.5%) cases of hypotension. ECG manifestation showed 27 (13.5%), 6 (3%) and 1 (0.5%) patients had sinus tachycardia, sinus bradycardia and ventricular tachycardia respectively. While, 9 (4.5%) cases had T inversion alone in precordial leads. Mortality (3%) was observed in intracranial bleed, neurotoxicity and capillary leak syndrome. However, cardiovascular involvement was not responsible for mortality in any cases. Conclusion: In conclusion, ventricular tachycardia is one of the manifestations of snake envenomation. Moreover, sinus tachycardia is common cardiovascular sign which may not be due to cardiac causes. Mortality results conclude that, cardiovascular involvement could not be responsible for mortality in snake envenomation.

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Section: Discussioncontrasting

confidence: 72%

Section: Introductionmentioning

confidence: 97%

A Study of Cardiac Profile in Patients with Snake Envenomation and Its Complications

Ramakrishna¹,

Kanattu²

2017

IJCM

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“…The majority (94%) was envenomed by carpet viper but even among the few victims of burrowing asp and puff adder (4.6%), snakes known to possess cardiac toxins in their venom [2,3], myocardial ischaemia was not confirmed. Coagulopathy-induced bloody pericardial tamponade and acute myocardial infarction have very rarely complicated other viper bites [5][6][7] but evidence of myocardial ischaemia from carpet viper poisoning was obtained from elevated serum cTnT in only 2% of cases here. The only other systematic study using ECG and cTnT also concluded myocardial damage is uncommon following elapid snakebites in Papua New Guinea [8].…”

mentioning

confidence: 73%

“…Recently a number of studies have reported that elevated levels of UA are associated not only with the presence of cardiovascular disease but also with poor prognosis in the setting of stable coronary artery disease (CAD) [6] acute MI [3][4][5], heart failure (HF) [7], stroke [8], metabolic syndrome (MS) [9] and in the patients without coronary artery disease [10].…”

Section: To the Editormentioning

confidence: 99%

Cardiac and hemodynamic features following snakebite in Nigeria

Karaye

Mijinyawa

Yakasai³

et al. 2012

International Journal of Cardiology

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“…The author is aware of only three cases of myocardial infarction complicating a viper bite in the English literature. [11][12][13] CASE REPORT A healthy 40-year-old male farmer was bitten on the left ankle by a snake while working in his field. The snake was not identified, but its description by the patient suggested Viperae palaestinae.…”

Section: Introductionmentioning

confidence: 99%

Case report: Acute myocardial infarction complicating a viper bite.

Saadeh

2001

The American Journal of Tropical Medicine and Hygiene

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Abstract. Myocardial infarction is a rare complication of snakebite. The present report describes a 40-year-old Jordanian farmer who developed an acute myocardial infarction several hours after a snakebite. The diagnosis of myocardial infarction was confirmed by a typical history of retrosternal chest pain, characteristic electrocardiographic changes, and elevated serum creatinine kinase (MB-CK). The patient had no risk factors for coronary artery disease and the coronary arteries were normal on cardiac catheterization. The possible mechanisms leading to myocardial infarction following snakebite are discussed.

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Acute Myocardial Infarction Complicating Viper Bite

Cited by 25 publications

References 1 publication

A Study of Cardiac Profile in Patients with Snake Envenomation and Its Complications

A Study of Cardiac Profile in Patients with Snake Envenomation and Its Complications

Cardiac and hemodynamic features following snakebite in Nigeria

Case report: Acute myocardial infarction complicating a viper bite.

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