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Published on: November 4, 2021
Acute Myocardial Infarction (AMI) Treated with Snake Antivenom
Waleed Salem1, Mohamed Gafar Abdelrahim1, Layth Al Majmaie1
1Emergency Department, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
Insights
Snakebites can rarely cause fatal cardiac issues. This case highlights a patient who developed acute myocardial infarction (AMI) after a snakebite but recovered with antivenom therapy.
Area of Science:
- Cardiology
- Toxicology
- Emergency Medicine
Background:
- Cardiac complications from snakebites are rare but serious.
- Prompt diagnosis and management are crucial.
Observation:
- A 45-year-old male presented with a snakebite.
- He developed vomiting, bradycardia, and a right bundle branch block.
- Subsequently, he experienced chest pain, indicative of acute myocardial infarction (AMI).
Findings:
- The patient was diagnosed with AMI following a snakebite.
- Initial troponin levels rose but subsequently decreased.
- Successful treatment was achieved with antivenom therapy alone, without requiring percutaneous intervention (PCI).
Implications:
- This case underscores the potential for snakebites to precipitate AMI.
- It emphasizes the efficacy of antivenom therapy in managing such rare cardiac events.
- Highlights the importance of considering cardiac complications in snakebite victims.
Abstract:
Cardiac complications following snakebites are uncommon but fatal. Here, we discuss a case of a snakebite that led to acute myocardial infarction (AMI). Forty-five-year-old male presented to the emergency room with snakebite on the right middle finger. He was given symptomatic treatment and admitted for observation. His vital signs and initial investigations were normal except for the white blood count that was high. During observation, he developed vomiting and bradycardia. He was diagnosed with a right bundle branch block on ECG. The patient developed chest pain after a few hours and was diagnosed with AMI on ECG. The toxicology team started antivenom therapy. His troponin kept rising initially but later started coming down without percutaneous intervention (PCI). He was treated successfully with antivenom therapy and discharged.
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