Abstract

ARRIETA-MENDOZA, Martín E. et al. Spontaneous coronary artery dissection following scorpion poisoning. Rev. Colomb. Cardiol. [online]. 2022, vol.29, suppl.4, pp.66-71.  Epub Dec 20, 2022. ISSN 0120-5633.  https://doi.org/10.24875/rccar.21000132.

A 44-year-old man was admitted to the emergency department after a scorpion sting. He presented paresthesia, thoracoabdominal pain and nausea. From the moment of admission, he presented atypical chest pain, epigastric abdominal pain of mild intensity, associated with nausea. An ECG was taken that did not show alterations, troponin was elevated, he was admitted to intensive care unit, management was initiated, subsequently corroborating in the angiography, a type 1 coronary artery dissection in the intermediate ramus as the cause of coronary event. The patient received a vial of antiscorpionic serum in the first level of care, later treatment with beta-blocker, antiaggregation with acetylsalicylic acid and clopidogrel was indicated, with progressive reduction of his symptoms. He is an asymptomatic graduate. A case of type 2 acute myocardial infarction due to coronary dissection after a scorpion sting is reported, there are no previously reported cases in the world.

Keywords : Acute myocardial infarction; Coronary dissection; Scorpion; Poisoning; Toxicology; Cardiology.

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