Idioventricular Rhythm and Shock After a Honeybee Sting

Overview

Journal Arch Cardiol Mex

Specialty Cardiology & Vascular Diseases

Date 2021 Apr 22

PMID 33887752

Citations 1

Authors

Desiree Franco-Lugo

Denise A Uribe-Vallarta

Karen D Bernal-Contreras

Valerie P Vargas-Abonce

Enrique Soto-Perez-de-Celis

Jaime Rivera-Figueroa

Daniel Cuevas-Ramos

Francisco J Gomez-Perez

Miguel A Gomez-Samano

Affiliations

Soon will be listed here.

Abstract

Objective: The objective of this study was to describe the case of a 19-year-old male presenting with bradycardia and hypotension after a honeybee sting making a review of the literature and pathophysiology of the cardiovascular and electrocardiogram (EKG) changes after a bee sting.

Methods: The patient's airway was inspected and secured. Electrocardiogram with an idioventricular rhythm at 41' bpm. Oxygen was administered, an intravenous access was established, and the transcutaneous pacemaker leads were placed on the chest of the patient, then published guidelines management was induced.

Results: The EKG showed idioventricular rhythm at a rate of 41 beats/min that resolved to a normal sinus rhythm after treatment.

Conclusions: A full and prompt cardiovascular evaluation should be performed in all patients presenting to the emergency department after a bee sting, and published guidelines regarding the management of bradycardia and anaphylaxis should be followed to achieve successful outcomes.

Citing Articles

Severe pulmonary-renal syndrome in honeybee sting envenomation - A case report.

Shaji A, Parvez M, Chirumamilla N, Sharma N, Pannu A Turk J Emerg Med. 2023; 23(4):246-249.

PMID: 38024185 PMC: 10664193. DOI: 10.4103/tjem.tjem_138_22.

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