Cardiac involvement in Scorpion envenomation: A review of literature
Scorpion envenomation (SE) causes cardiac complications. Pubmed, Scielo, Embase and google scholar were searched using the keywords scorpion: cardiac, heart, arrhythmia, electrocardiograph and myocarditis in the abstract or text. 112 were selected. Cardiotoxicity can occur within 2 hours of SE and...
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| Format: | Article |
| Language: | English |
| Published: |
Indonesian Heart Association
2025-01-01
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| Series: | Majalah Kardiologi Indonesia |
| Subjects: | |
| Online Access: | https://ijconline.id/index.php/ijc/article/view/1710 |
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| _version_ | 1841546498530082816 |
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| author | Mitrakrishnan Rayno Navinan Dilushi Rowena Wijeyaratne |
| author_facet | Mitrakrishnan Rayno Navinan Dilushi Rowena Wijeyaratne |
| author_sort | Mitrakrishnan Rayno Navinan |
| collection | DOAJ |
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Scorpion envenomation (SE) causes cardiac complications. Pubmed, Scielo, Embase and google scholar were searched using the keywords scorpion: cardiac, heart, arrhythmia, electrocardiograph and myocarditis in the abstract or text. 112 were selected. Cardiotoxicity can occur within 2 hours of SE and include hyper/hypotension, arrhythmias, myocarditis and heart failure. The postulated mechanisms are autonomic storm, inflammation, direct venom toxicity and metabolic derangement. Haematological and biochemical derangement suggests increased severity. Cardiac biomarkers, electrocardiography and transthoracic echocardiography helps detect cardiotoxicity and guide management. Early use of antivenom and/or alpha-adrenergic blockade may prevent or reverse cardiotoxicity. Hypertension is best managed alpha-adrenergic blockers. Arrhythmias are usually transient. Cardiovascular complications of SE are associated with morbidity and mortality. A clear consensus on the indication and utilization of antivenom administration in cardiac involvement SE are needed.
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| format | Article |
| id | doaj-art-3ff9a96c743c47128fca8e8e23e31234 |
| institution | Kabale University |
| issn | 0126-3773 2620-4762 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Indonesian Heart Association |
| record_format | Article |
| series | Majalah Kardiologi Indonesia |
| spelling | doaj-art-3ff9a96c743c47128fca8e8e23e312342025-01-10T16:38:13ZengIndonesian Heart AssociationMajalah Kardiologi Indonesia0126-37732620-47622025-01-0145210.30701/ijc.1710Cardiac involvement in Scorpion envenomation: A review of literatureMitrakrishnan Rayno Navinan0Dilushi Rowena Wijeyaratne1Department of Cardiology, University Hospital – Kotelawala Defence University.Department of Clinical Medicine, Faculty of Medicine, University of Sri Lanka, Sri Lanka Scorpion envenomation (SE) causes cardiac complications. Pubmed, Scielo, Embase and google scholar were searched using the keywords scorpion: cardiac, heart, arrhythmia, electrocardiograph and myocarditis in the abstract or text. 112 were selected. Cardiotoxicity can occur within 2 hours of SE and include hyper/hypotension, arrhythmias, myocarditis and heart failure. The postulated mechanisms are autonomic storm, inflammation, direct venom toxicity and metabolic derangement. Haematological and biochemical derangement suggests increased severity. Cardiac biomarkers, electrocardiography and transthoracic echocardiography helps detect cardiotoxicity and guide management. Early use of antivenom and/or alpha-adrenergic blockade may prevent or reverse cardiotoxicity. Hypertension is best managed alpha-adrenergic blockers. Arrhythmias are usually transient. Cardiovascular complications of SE are associated with morbidity and mortality. A clear consensus on the indication and utilization of antivenom administration in cardiac involvement SE are needed. https://ijconline.id/index.php/ijc/article/view/1710Scorpion, cardiotoxic, venom, toxins, myocarditis, heart failure |
| spellingShingle | Mitrakrishnan Rayno Navinan Dilushi Rowena Wijeyaratne Cardiac involvement in Scorpion envenomation: A review of literature Majalah Kardiologi Indonesia Scorpion, cardiotoxic, venom, toxins, myocarditis, heart failure |
| title | Cardiac involvement in Scorpion envenomation: A review of literature |
| title_full | Cardiac involvement in Scorpion envenomation: A review of literature |
| title_fullStr | Cardiac involvement in Scorpion envenomation: A review of literature |
| title_full_unstemmed | Cardiac involvement in Scorpion envenomation: A review of literature |
| title_short | Cardiac involvement in Scorpion envenomation: A review of literature |
| title_sort | cardiac involvement in scorpion envenomation a review of literature |
| topic | Scorpion, cardiotoxic, venom, toxins, myocarditis, heart failure |
| url | https://ijconline.id/index.php/ijc/article/view/1710 |
| work_keys_str_mv | AT mitrakrishnanraynonavinan cardiacinvolvementinscorpionenvenomationareviewofliterature AT dilushirowenawijeyaratne cardiacinvolvementinscorpionenvenomationareviewofliterature |