Document Detail


Electrocardiologic and echocardiographic features of patients exposed to scorpion bite.
MedLine Citation:
PMID:  14759093     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this study is to examine clinical progress and hemodynamic and electrocardiologic features (QT depression and heart rate variability [HRV]) of patients exposed to a scorpion bite. Seventeen patients bitten by scorpions, and, as a control group, 15 healthy subjects were included in the study. Standard electrocardiograph (ECG) records, 24-hour Holter-ECG, and Doppler echocardiographic examinations were performed. Holter ECG indicated sinus tachycardia, sinus bradycardia, paroxysmal supraventricular tachycardia, atrial fibrillation, first-degree and second-degree atrioventricular block not requiring treatment, early atrial beats, and early ventricular beats in the patients at frequencies of 82%, 12%, 35%, 12%, 8%, 70%, and 47%, respectively. HRV parameters that reflected parasympathetic activity (SD 35+/-13-43+/-16, RMS-SD: 20+/-9-30+/-12, high frequency: 7.8+/-2-4.3+/-3, p<0.05) were significantly lower (p<0.05). Low frequency, which especially showed sympathetic activity (LF: 11+/-13-11+/-23, p>0.05), was similar in both groups. In addition, the LF/HF ratio, which reflected sympathovagal balance, was significantly increased in the patient group (1.5+/-1-3.0+/-2, p=0.005). Corrected QT and QT dispersion values were not significantly different with respect to the control (p>0.05). In the patient group compared to the control, a significant decrease was determined in the proportion of mitral E velocity to mitral A velocity (mEv/mAv), diastolic filling period (DFP), and left ventricular ejection fraction (LVEF), while a significant increase was noticed in pulmonary artery pressure (PAP) (mEv/mAv: 0.9+/-0.4-1.7+/-0.6, DFP: 362+/-8.5-425+/-89, LVEF: 53.1+/-6.7-68.6+/-5.8, PAP: 38.1+/-13-27.2+/-6, p<0.05). Scorpion bite leads to serious cardiovascular disorders, associated with decreased HRV, decreased systolic and diastolic functions, increased arrhythmic events, and hemodynamic disturbance with sympathetic and parasympathetic balance disturbance.
Authors:
Sait Alan; Mehmet S Ulgen; Murat Soker; Faruk Geyik; Aziz Karabulut; Nizamettin Toprak
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Angiology     Volume:  55     ISSN:  0003-3197     ISO Abbreviation:  Angiology     Publication Date:    2004 Jan-Feb
Date Detail:
Created Date:  2004-02-04     Completed Date:  2004-02-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0203706     Medline TA:  Angiology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  79-84     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey. alansait@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Animals
Arachnidism / complications,  diagnosis*,  ultrasonography
Cardiovascular Diseases / diagnosis*,  etiology,  ultrasonography
Child
Child, Preschool
Echocardiography, Doppler*
Electrocardiography*
Female
Humans
Male
Prognosis
Scorpions*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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