Sinus node dysfunction complicating viper bite

Asian Cardiovasc Thorac Ann. 2015 Feb;23(2):212-4. doi: 10.1177/0218492313501819. Epub 2013 Oct 29.

Abstract

Viper venom toxicities comprise mainly bleeding disorders and nephrotoxicity. Cardiotoxicity is a rare manifestation of viper bite. We describe the case of a previously healthy 35-year-old man who developed coagulopathy and sinus node dysfunction following a viper bite. Electrocardiography showed sinus arrest and junctional escape rhythm. This is the first account of sinus node dysfunction caused by a viper bite.

Keywords: Sick sinus syndrome; russell’s viper; snake bites; viper venoms; viperidae.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Animals
  • Antivenins / therapeutic use
  • Electrocardiography
  • Heart Arrest / diagnosis
  • Heart Arrest / etiology
  • Hemodynamics
  • Humans
  • Male
  • Sick Sinus Syndrome / diagnosis
  • Sick Sinus Syndrome / drug therapy
  • Sick Sinus Syndrome / etiology*
  • Sick Sinus Syndrome / physiopathology
  • Snake Bites / complications*
  • Snake Bites / diagnosis
  • Time Factors
  • Treatment Outcome
  • Viper Venoms*
  • Viperidae*

Substances

  • Antivenins
  • Viper Venoms