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Electrocardiographic changes associated with multiple yellow jacket stings.

S F Rowe, K E Greer, R H Hodge

    Southern Medical Journal
    |April 1, 1979
    PubMed
    Summary
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    Multiple yellow jacket stings in a healthy man caused temporary heart rhythm abnormalities, including wandering atrial pacemaker and premature ventricular contractions. These arrhythmias resolved on their own without medical intervention.

    Area of Science:

    • Cardiology
    • Toxicology
    • Insect Stings

    Background:

    • Insect stings, particularly from Hymenoptera species like yellow jackets, can trigger diverse physiological responses.
    • While anaphylaxis is a well-known severe reaction, less common systemic effects are also documented.
    • Cardiac arrhythmias following insect envenomation are rare but have been reported.

    Observation:

    • A previously healthy 38-year-old male experienced multiple yellow jacket stings.
    • The patient exhibited no immediate signs or symptoms of anaphylaxis.
    • Electrocardiogram (ECG) monitoring was performed 16 hours post-sting.

    Findings:

    • The ECG revealed transient cardiac arrhythmias.
    • Specific arrhythmias included wandering atrial pacemaker, junctional rhythm, and intermittent premature ventricular contractions.

    Related Experiment Videos

  • These electrophysiological abnormalities were self-limiting and resolved spontaneously.

    • Implications:

    • This case highlights the potential for delayed cardiac arrhythmias following insect stings, even in the absence of anaphylaxis.
    • It suggests that insect venom components may have direct or indirect effects on cardiac electrophysiology.
    • Further investigation may be warranted to understand the mechanisms and clinical significance of such delayed arrhythmias.