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KMID : 0385920110220060760
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Journal of the Korean Society of Emergency Medicine
2011 Volume.22 No. 6 p.760 ~ p.763
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A Case of a Acute Myocardial Infarction Complicated by a Snake Bite
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Jang Tae-Chang
Seo Young-Woo
Lee Kyung-Won
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Abstract
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We experienced a rare case of acute myocardial infarction associated with a coagulopathy-complicating snake bite. A
previously healthy 72-year-old Korean woman was bitten on the right thumb by a snake of unknown species. She was
admitted to a local medical center for one day and exhibited painful progressive swelling along the entire right arm. She
also complained of chest discomfort. She had an ST-elevation and T wave-inversion on an ECG. She was then transferred to our emergency department. We found a regional wall motion abnormality on echocardiography, and elevated cardiac enzymes in a laboratory test. We also observed coagulopathy and a thrombus in the left ventricle on follow-up
echocardiography. An acute myocardial infarction was confirmed by percutaneous coronary angiography, which showed
the total occlusion and stenosis of several coronary arteries.
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KEYWORD
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Snake Bite, Complications, Acute Myocardial Infarction, Coagulopathy
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