Archives of the Turkish Society of Cardiology
Scorpion envenomation-induced acute thrombotic inferior myocardial infarction [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2016; 44(1): 82-86 | DOI: 10.5543/tkda.2015.88590

Scorpion envenomation-induced acute thrombotic inferior myocardial infarction

Ahmet Oytun Baykan1, Mustafa Gür2, Armağan Acele1, Taner Şeker1, Murat Çaylı3
1Department of Cardiology, Adana Numune Training and Research Hospital, Adana, Turkey
2Department of Cardiology, Kafkas University Faculty of Medicine, Kars, Turkey
3Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakir, Turkey

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.

Keywords: Acute myocardial infarction, glycoprotein IIb/IIIa inhibitor; scorpion sting; thrombus aspiration.

Ahmet Oytun Baykan, Mustafa Gür, Armağan Acele, Taner Şeker, Murat Çaylı. Scorpion envenomation-induced acute thrombotic inferior myocardial infarction. Turk Kardiyol Dern Ars. 2016; 44(1): 82-86

Corresponding Author: Ahmet Oytun Baykan, Türkiye
© copyright 2017 Archives of the Turkish Society of Cardiology
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