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Stung to the Heart
Himmatrao Saluba Bawaskar1, Pramodini H Bawaskar1, Parag H Bawaskar2
1Bawaskar Hospital and Clinical Research Centre, Mahad, Raigad Maharashtra, India.
JACC. Case Reports
|January 17, 2022
Summary
Scorpion stings can cause severe heart problems, including ventricular tachycardia. Prompt treatment with magnesium sulfate can help, and Brugada pattern may appear on ECG after cardioversion.
Area of Science:
- Cardiology
- Toxicology
- Emergency Medicine
Background:
- Scorpion envenomation is a significant cause of cardiovascular morbidity.
- Cardiogenic shock and ventricular arrhythmias are known complications of certain scorpion stings.
Observation:
- A 48-year-old female presented with cardiogenic shock following a scorpion sting.
- Initial management included electrical cardioversion, which was unsuccessful in reverting ventricular tachycardia.
Findings:
- Ventricular tachycardia was successfully treated with intravenous magnesium sulfate.
- Post-treatment electrocardiogram revealed a Brugada pattern, suggesting an underlying electrical abnormality unmasked by the envenomation or its treatment.
Implications:
- This case highlights the potential for scorpion stings to induce severe cardiac arrhythmias and transient electrocardiographic changes.
- Magnesium sulfate should be considered in managing scorpion sting-induced ventricular tachycardia.
- The emergence of a Brugada pattern warrants further investigation into predisposing factors and long-term cardiac risk.
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