2019, Number 1
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Rev Med MD 2019; 10.11 (1)
Electrocardiographic and blood pressure disorders in poisoned by scorpion sting: an exploratory study
Almaraz-Lira JS, García-Guardado DI, Chávez-Haro AL
Language: Spanish
References: 26
Page: 15-21
PDF size: 547.51 Kb.
ABSTRACT
Introduction.
Mexico is a country with a high incidence of scorpion stings due to the diversity therein, with Guanajuato being one of the Mexican states
with the highest reports of scorpion sting, the objective was: to evaluate electrocardiographic abnormalities during scorpion sting poisoning
related to the increase in blood pressure.
Methods.
All individuals treated for scorpion sting at the Centro antialacran de la Cruz Roja Mexicana in Guanajuato, Mexico were analyzed. Vital
signs were recorded: heart rate, respiratory rate, blood pressure, and an electrocardiogram was performed at admission and discharge. A
description of the characteristics of the individuals was made and analytical statistics were used to assess differences between income and
discharge. Also, correlations between the studied variables were sought.
Results.
Eleven individuals with scorpion sting poisoning, older than 18 years and without a history of chronic diseases were included. The totality
of the individuals presented hypertension; and 90.9% presented deviation of the cardiac axis. Systolic blood pressure at admission and the
initial QRS segment had a correlation of 0.639 (p = 0.017); while the diastolic blood pressure at admission and the initial QRS segment had an
inverse correlation of 0.66 (p = 0.014). No mortality was recorded.
Discussion.
Electrocardiographic changes and alterations in blood pressure after scorpion sting are common.
REFERENCES
Chippaux J-P, Goyffon M. Epidemiology of scor pionism: A global appraisal. Acta Trop. 2008;107(2):71–9.
D´Suze G, Corzo-Burguete GA, Paniagua-Solis JF. Emergencias por Animales Ponzoñosos en las Américas. México, DF.: Innova, CONACYT; 2011.
Santibáñez-López C, Francke O, Ureta C, Possani L. Scorpions from Mexico: From Species Diversity to Venom Complexity. Toxins (Basel). 2015 ;8(1):2.
Ponce Saavedra J, Francke B OF. Clave para la identificación de especies de alacranes del género Centruroides Marx 1890 (Scorpiones: Buthidae) en el Centro Occidente de México. Biológicas. 2013;15(1):52–62
Secretaría de Salud. Prevención, Diagnóstico, Tratamiento y Referencia de la Intoxicación por Picadura de Alacrán. México; 2015. Disponible en: http://www.cenetec-difusion.com/CMGPC/SS- 148-08/ER.pdf
Del Brutto OH. "Neurological effects of venomous bites and stings". In: Garcia HH, Tanowitz HB, Del Brutto OH (Editors), Handbook of clinical neurology Vol. 114 (3rd series) Neuroparasitology and Tropical Neurology. 2013: 349–68.
Quintero-Hernández V, Jiménez-Vargas JM, Gurrola GB, Valdivia HH, Possani LD. Scorpion venom components that affect ion-channels function. Toxicon. 2013;76:328–42.
de Rezende NA, Chavéz-Olortegui C, Amaral CF. Is the severity of Tityus ser rulatus scor pion envenom ingrelated toplasma venom concentrations? Toxicon. 1996;34(7):820–3.
Cordeiro FF, Sakate M, Fernandes V, Cuyumjian PR. Clinical and cardiovascular alterations produced by scorpion envenomation in dogs. J Venom Anim Toxins Incl Trop Dis. 2006;12(1):19–43.
Osnaya-Romero N, Acosta-Saavedra LC, Goytia- Acevedo R, Lares-Asseff I, Basurto-Celaya G, Perez- Guille G, et al. Serum level of scorpion toxins, electrolytes and electrocardiogram alterations in Mexican children envenomed by scorpion sting. Toxicon. 2016;122:103–8.
Ismail M, Asaad N, Suwaidi J Al, Kawari M Al, Salam A. Acute myocarditis and pulmonary edema due to scorpion sting. Glob Cardiol Sci Pract. 2016:10.
Miranda CH, Maio KT, Moreira HT, Moraes M, Custodio VI do C, Pazin-Filho A, et al. Sustained Ventricular Tachycardia and Cardiogenic Shock due to Scor pion Envenomation. Case Rep Med. 2014;251870.
Gueron M, Adolph RJ, Grupp IL, Gabel M, Grupp G, Fowler NO. Hemodynamic and myocardial consequences of scorpion venom. Am J Cardiol. 1980;45(5):979–86.
Mathieu P, Poirier P, Pibarot P, Lemieux I, Despreś J-P. Visceral Obesity: the link among inflammation, hype r te nsio n, a nd card iova scular disease. Hypertension. 2009;53(4):577–84.
Wong J, Patel RA, Kowey PR. The clinical use of angiotensin-converting enzyme inhibitors. Prog Cardiovasc Dis.2004;47(2):116–30.
Gueron M, Ilia R, Sofer S. The cardiovascular system after scorpion envenomation. A review. J Toxicol Clin Toxicol. 1992;30(2):245–58.
Chippaux J-P. Emerging options for the management of scorpion stings. Drug Des Devel Ther. 2012;6:165-73.
Possani-Postay LD. El estudio de los componentes del veneno de alacranes en el contexto de la biología molecular, la farmacología y la medicina. Biotecnología. 2007;177–88.
Chávez-Haro AL, Ortiz E. Scorpionism and Dangerous Species of Mexico. en: Gopalakrishnakone P., Possani L., F. Schwartz E., Rodríguez de la Vega R. (eds) Scorpion Venoms. Toxinology, vol 4. Springer, Dordrecht 2015;4:201-213
Norma Oficial Mexicana NOM-033-SSA2-2011 PARA LA VIGILANCIA, PREVENCIÓN Y CONTROL DE LA INTOXICACIÓN POR PICADURA DEALACRAN. Disponible en: http://www.hcg.udg.mx/PAGs/Sec_Transparencia/PDFs_Transparencia/II_ E_NOM_27.pdf
Laraba-Djebari F, Adi-Bessalem S, Hammoudi-Triki D. Scorpion Venoms: Pathogenesis and Biotherapies. en: Gopalakrishnakone P. (eds) Toxinology. Springer, Dordrecht; 2013;1–21.
Gordillo ME, Bugliolo AG, Delloni A. Escorpionismo en Pediatría. Arch. argent. pediatr. 2000;98(5):296–303.
Díaz-Dueñas P. Alteraciones electrocardiográficas en pacientes de 5 a 14 años de edad picados por escorpión [Internet]. 2010. Disponible en: http://digeset.ucol.mx/tesis_posgrado/Pdf/Porfirio Diaz Dueñas.pdf
Agrawal A, Kumar A, Consul S, Yadav A. Scorpion bite, a sting to the heart! Indian J Crit Care Med. 2015;19(4):233–6.
Rojas-Vera J, Segura-Plasencia N, Guzmán-Contreras H. Daño miocárdico pospicadura de escorpión. Rev Soc Peru Med Interna. 2015;28(1):14–7.
Santiago JJ, Mazzei de-Dávila CA, Davila DF, Donis JH, Villaroel V. Terapia de rescate con amiodarona en niños con severa disfunción ventricular izquierda ocasionada por veneno de escorpión. Arq Bras Cardiol. 2010;94(1):18–24.