Electrocardiographic myocardial infarction without structural lesion in the setting of acute hymenoptera envenomation

At initial presentation to the emergency medical services, the patient was found obtunded with agonal respiration, a systolic blood pressure of 92 mm Hg, and an electrocardiogram revealing second-degree heart block type 2 with a 2:1 conduction, a rate of 51 beats per minute, and an ST elevation cons...

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Veröffentlicht in:The American journal of emergency medicine 2007-11, Vol.25 (9), p.1082.e5-1082.e8
Hauptverfasser: Valkanas, Michael A., MD, Dailey, Michael W., MD, Bowman, Scott, BA, EMT-P
Format: Artikel
Sprache:eng
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Zusammenfassung:At initial presentation to the emergency medical services, the patient was found obtunded with agonal respiration, a systolic blood pressure of 92 mm Hg, and an electrocardiogram revealing second-degree heart block type 2 with a 2:1 conduction, a rate of 51 beats per minute, and an ST elevation consistent with an inferolateral myocardial infarction. Paramedical personnel initiated bilateral intravenous lines in the patient's antecubital fossa, whereas the airway was more definitively protected through nasotracheal intubation. Because of the atypical presentation without hypotension, regional EMS protocol for the treatment of anaphylaxis was initially withheld while a 12-lead EKG was obtained (Fig. 2). [...]animal studies of bee venom infusion have demonstrated EKG changes [1-6].
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2007.02.046