TY - JOUR PY - 2016// TI - Scorpion envenomation-induced acute thrombotic inferior myocardial infarction JO - Türk Kardiyoloji Derneği arşivi A1 - Baykan, Ahmet Oytun A1 - Gür, Mustafa A1 - Acele, Armağan A1 - Şeker, Taner A1 - Çaylı, Murat SP - 82 EP - 86 VL - 44 IS - 1 N2 - The occurrence of a serious cardiac emergency following scorpion envenomation has rarely been reported and, when so, mostly presented as non-ST segment elevation myocardial infarction, cardiogenic shock, or myocarditis. Possible mechanisms include imbalance in blood pressure and coronary vasospasm caused by the combination of sympathetic excitation, scorpion venom-induced release of catecholamines, and the direct effect of the toxin on the myocardium. We report a case of a 55-year-old man who presented with acute inferior wall myocardial infarction (MI) within 2 h of being stung by a scorpion. Coronary angiogram revealed total thrombotic occlusion of the left circumflex artery, which was treated successfully with glycoprotein IIb/IIIa inhibitor, thrombus aspiration, antivenom serum, and supportive therapy. Therefore, life-threatening MI can complicate the clinical course during some types of scorpion envenomation and should be managed as an acute coronary syndrome.
Language: en
LA - en SN - 1016-5169 UR - http://dx.doi.org/ ID - ref1 ER -