지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 512 - 517 (6page)
이용수
초록· 키워드
오류제보하기
Purpose: Although cardiac involvement is an infrequently recognized manifestation of venomous snakebites, little is known of the adverse cardiovascular events (ACVEs) arising as a result of snakebite in Korea. Accordingly, we studied the prevalence of ACVEs associated with venomous snakebites in Korea and compared the clinical features of patients with and without ACVEs.
Materials and Methods: A retrospective review was conducted on 65 consecutive venomous snakebite cases diagnosed and treated at the emergency department of Wonju Severance Christian Hospital between May 2011 and October 2014. ACVEs were defined as the occurrence of at least one of the following: 1) myocardial injury, 2) shock, 3) ventricular dysrhythmia, or 4) cardiac arrest.
Results: Nine (13.8%) of the 65 patients had ACVEs; myocardial injury (9 patients, 13.8%) included high sensitivity troponin I (hs-TnI) elevation (7 patients, 10.8%) or electrocardiogram (ECG) determined ischemic change (2 patients, 3.1%), and shock (2 patient, 3.1%). Neither ventricular dysrhythmia nor cardiac arrest was observed. The median of elevated hs-TnI levels observed in the presentstudy were 0.063 ng/mL (maximum: 3.000 ng/mL) and there was no mortality in the ACVEs group. Underlying cardiac diseases were more common in the ACVEs group than in the non-ACVEs group (p=0.017). Regarding complications during hospitalization, 3 patients (5.4%) in the non-ACVEs group and 3 patients (33.3%) in the ACVEs group developed bleeding (p=0.031).
Conclusion: Significant proportion of the patients with venomous snakebite is associated with occurrence of ACVEs. Patients with ACVEs had more underlying cardiac disease and bleeding complication.
목차
등록된 정보가 없습니다.
참고문헌 (26)
참고문헌 신청
Chippaux JP / 1998 / Snake-bites: appraisal of the global situation / Bull World Health Organ 76:515~524
Kasturiratne A / 2008 / The global burden of snakebite: a literature analysis and modelling based on regional estimates of envenoming and deaths / PLoS Med 5:e218
Agarwal R / 2007 / Pulmonary oedema complicating snake bite due to Bungarus caeruleus / Singapore Med J 48:e227~e230
Nayak KC / 1990 / Profile of cardiac complications of snake bite / Indian Heart J 42:185~188
장태창 / 2011 / 독사교상으로 인한 급성심근경색증 1례 / 대한응급의학회지 22(6):760~763
Kasturiratne A / 2008 / The global burden of snakebite: a literature analysis and modelling based on regional estimates of envenoming and deaths / PLoS Med 5:e218
Agarwal R / 2007 / Pulmonary oedema complicating snake bite due to Bungarus caeruleus / Singapore Med J 48:e227~e230
Nayak KC / 1990 / Profile of cardiac complications of snake bite / Indian Heart J 42:185~188
장태창 / 2011 / 독사교상으로 인한 급성심근경색증 1례 / 대한응급의학회지 22(6):760~763
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