Acute myocardial infarction complicating viper bite

D S Blondheim1, M Plich, M Berman

  • 1Department of Cardiology and ICU, Rebecca Sieff Hospital, Safed, Israel.

Insights

Vipera palaestinea venom can cause acute myocardial infarction in young patients. Diagnosis via cardiac catheterization revealed contraction abnormalities despite normal coronary arteries.

Area of Science:

  • Cardiology
  • Toxicology

Background:

  • Acute myocardial infarction (MI) typically affects older individuals.
  • Coronary artery disease is the usual cause of MI.

Observation:

  • A young patient presented with symptoms suggestive of MI.
  • Cardiac catheterization was performed for diagnostic evaluation.

Findings:

  • The patient was diagnosed with acute myocardial infarction.
  • Vipera palaestinea venom was identified as the causative agent.
  • Cardiac catheterization revealed segmental contraction abnormalities.
  • Coronary arteries were found to be normal, ruling out atherosclerosis.

Implications:

  • This case highlights a rare cause of MI in young individuals.
  • Vipera palaestinea venom should be considered in the differential diagnosis of MI in relevant geographic areas.
  • Further research into venom-induced cardiac dysfunction is warranted.

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