A prospective study regarding cardiovascular manifestations following snake bite

Authors

  • Anitha M. S. Department of Medicine, Ashwini Rural Medical College Hospital and Research Centre, Kumbhari, Solapur, Maharashtra, India
  • Viresh A. Nandimath Department of Community Medicine, Dr. V.M. Government Medical College, Solapur, Maharashtra, India
  • Sachin T. Bandichhode Department of Paediatrics, Dr. V.M. Government Medical College, Solapur, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20170100

Keywords:

Atrial fibrillation, Breathlessness, Cardiac enzymes, Cardiovascular changes, Hypotension, Hypertension, Snake bite

Abstract

Background: Snake bite is an occupational hazard especially of agricultural workers. Through snake bite venom, a complex mixture of various enzymes, polypeptides and toxins are injected into body of the victim. Clinical features of snake bite include local effects such as pain, swelling, cellulitis, tissue necrosis and lymphadenopathy. Snake bite and its common complications like nephrotoxicity, neurotoxicity and haemorrhagic manifestations have always been stressed. The cardiovascular abnormalities following snake bite was relatively less stressed complication; hence the present study has been conducted. Aim of the study was to observe clinical, electrocardiographic and cardiac changes following snake bite.

Methods: Present prospective study has been conducted in emergency ward of medicine department of K. R. Hospital, Mysore, India during the period from July 2004 to May 2005.

Results: In the present study 80% of cases were in second and third decade of life. Male patients were outnumbered female patients. 70% of cases were from agricultural background. Distal part of the body was the most common site involved in snake bite, 82% of cases presented within 24 hours of snake bite. Cardiac manifestations were seen in 36% of cases in the form of hypotension, ECG changes and elevated cardiac enzymes.

Conclusions: Cardiovascular system involvement following snake bite was not rare, it was mandatory to record ECG and estimate cardiac enzymes as soon as possible in detecting cardiotoxic effects following snake bite.

References

Gordon Cook. Manson’s Tropical Diseases. Animal toxins by Warrel DA, 21st edition. Saunders Publications. 2005;581-611.

Weatherall, Leningham, Warrel. Oxford textbook of medicine, 4th edition, Oxford 2004;923-36.

Mishra NP, Mishra SC. Snake bite. Quarterly Med Review. 1982;33(4):5-7.

Deoras PJ. Snakes of India, 6th edition. National Book Trust, Ministry of Human Resource Development, Government of India. New Delhi. India; 2000:34.

Banerjee RN. Poisonous snakes of India, their venoms, symptomatology and treatment of envenomation. In: Ahuja MMS, Progress in Clinical Medicine in India. 2nd edition. New Delhi: Arnold- Heinemann Publishers;1983:136-179.

Mishra SN, Nayak KC, Jail AK, Shrada DP. Profile of cardiac complications of snake bite. Indian Heart Journal. 1990;42(3):185-8.

Reid HA. Cobra bites. British Med Journal. 1964;2:540-5.

Hati AK, Mandal M, De MK, Mukerjee H, Hati RN. Epidemiology of snake bite in the district of Burdwan, West Bengal. JIMA. 1992;90:145-7.

Bhat RN. Viperine snake bite poisoning in Jammu. J Ind Med Asso. 1974;63:383-92.

Warrel DA, Pope HM, Prentice CR. Disseminated intravascular coagulation caused by carpet viper (Echis carniatus). Br J Haematol. 1976;33(3):335-42.

Gupta OP, Mewar SH, Kalantri SP, Jain A, Jajoo UN. Reversible atrial fibrillation following snake bite. JAPI. 1987;36(7):535.

Lalloo DG. Snake bites by the papuan taipan: paralysis, hemostatic and electrocardiographic abnormalities and effect of antivenom. Am J Trop Med Hyg. 1995;52(6):525-31.

Mohapatra BN. Coagulation disorder following viper bite in Orissa. JIMA. 1992;90(1):12-4.

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Published

2017-01-23

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Original Research Articles