A Case of a Acute Myocardial Infarction Complicated by a Snake Bite.
- Author:
Tae Chang JANG
1
;
Young Woo SEO
;
Kyung Won LEE
Author Information
1. Department of Emergency Medicine, Catholic University of Daegu, School of Medicine, Daegu, Korea. emkwlee@cu.ac.kr
- Publication Type:Case Report
- Keywords:
Snake Bite;
Complications;
Acute Myocardial Infarction;
Coagulopathy
- MeSH:
Aged;
Arm;
Constriction, Pathologic;
Coronary Angiography;
Coronary Vessels;
Echocardiography;
Electrocardiography;
Emergencies;
Female;
Follow-Up Studies;
Heart Ventricles;
Humans;
Myocardial Infarction;
Snake Bites;
Snakes;
Thorax;
Thrombosis;
Thumb
- From:Journal of the Korean Society of Emergency Medicine
2011;22(6):760-763
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We experienced a rare case of acute myocardial infarction associated with a coagulopathy-complicating snake bite. A previously healthy 72-year-old Korean woman was bitten on the right thumb by a snake of unknown species. She was admitted to a local medical center for one day and exhibited painful progressive swelling along the entire right arm. She also complained of chest discomfort. She had an ST-elevation and T wave-inversion on an ECG. She was then transferred to our emergency department. We found a regional wall motion abnormality on echocardiography, and elevated cardiac enzymes in a laboratory test. We also observed coagulopathy and a thrombus in the left ventricle on follow-up echocardiography. An acute myocardial infarction was confirmed by percutaneous coronary angiography, which showed the total occlusion and stenosis of several coronary arteries.
