Echocardiography Guided Therapy for Myocarditis after Scorpion Sting Envenomation
Objective: This study was to evaluate echocardiographic findings and its usefulness in clinical management of patients with scorpion sting envenomation. Material and Methods: A total of 84 consecutive patients were prospectively studied. The data included demographics, at the time of presentati...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
JCDR Research and Publications Private Limited
2013-12-01
|
Series: | Journal of Clinical and Diagnostic Research |
Subjects: | |
Online Access: | https://jcdr.net/articles/PDF/3693/49-%206791_E(C)_F(DK)_PF1(VP)_PFA(H)_OLF_(U)_PF2(PP).pdf |
id |
doaj-c249277864e143c9a4a857ef8a82ed98 |
---|---|
record_format |
Article |
spelling |
doaj-c249277864e143c9a4a857ef8a82ed982020-11-25T03:32:02ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2013-12-017122836283810.7860/JCDR/2013/6791.3693Echocardiography Guided Therapy for Myocarditis after Scorpion Sting EnvenomationSuresh V Sagarad0Sudha Biradar Kerure1Balaramsingh Thakur2S S Reddy3Balasubramanya K4R M Joshi5Assistant Professor, Department of Cardiology, Rajiv Gandhi Super Speciality Hospital (A super speciality unit of Raichur Institute of Medical Sciences), Raichur, India.Associate Professor, NMC & H, Raichur, India.Professor, Department of Pathology, NMC & H Raichur, India.Associate Professor, NMC & H & Consulting Physician SHRC, Raichur, India.Consluting Pediatrician, RGSSH, Raichur, India.Consulting Pathologist, RGSSH, Raichur, India.Objective: This study was to evaluate echocardiographic findings and its usefulness in clinical management of patients with scorpion sting envenomation. Material and Methods: A total of 84 consecutive patients were prospectively studied. The data included demographics, at the time of presentation to the hospital, the clinical features, echocardiographic findings, admission to intensive care unit, use of inotropic medication, time to discharge, and mortality. Results: Out of 84 patients studied 60 patients (71.4%) had echocardiographic evidence of myocarditis (LVEF <50%). Majority of patients had LVEF <40% (50 patients, 83.3%). Severe LV dysfunction (LVEF <30%) was noted in 20 patients (33.3%). No patient had significant valvular regurgitation. RV dysfunction was noted in half of the patients who had LV dysfunction. RV dysfunction was not seen in isolation. Twenty four patients without evidence of myocarditis on echocardiography were observed in general wards and were discharged in 24 to 48 hours of admission. Ten patients with mild LV dysfunction (LVEF 50-40%) and 20 patients with moderate LV dysfunction were observed in high dependency units with regular monitoring for 24 to 48 hours. Only 3 patients were put on inotropics support and others could be discharged in 72 to 96 hours. All the patients with severe LV dysfunction and moderate LV dysfunction with significant RV dysfunction were admitted in intensive care unit irrespective of symptoms (Total 30 patients). These patients were put on inotropics support. Among severe LV dysfunction group, 4 patients required ventilator support and 2 (2.3%) patients died with refractory shock and multi-organ failure. Tachycardia, muffled and or gallop heart sounds and hypertension didn’t predict presence of LV dysfunction. Persistent hypotension requiring inotropics support was a marker of severe LV dysfunction. Conclusion: Echocardiography is a useful tool in emergency to assess LV function in patients with scorpion sting envenomation. It can guide therapy by identifying patients with severe LV dysfunction.https://jcdr.net/articles/PDF/3693/49-%206791_E(C)_F(DK)_PF1(VP)_PFA(H)_OLF_(U)_PF2(PP).pdfscorpionmyocarditisenvenomationechocardiography |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Suresh V Sagarad Sudha Biradar Kerure Balaramsingh Thakur S S Reddy Balasubramanya K R M Joshi |
spellingShingle |
Suresh V Sagarad Sudha Biradar Kerure Balaramsingh Thakur S S Reddy Balasubramanya K R M Joshi Echocardiography Guided Therapy for Myocarditis after Scorpion Sting Envenomation Journal of Clinical and Diagnostic Research scorpion myocarditis envenomation echocardiography |
author_facet |
Suresh V Sagarad Sudha Biradar Kerure Balaramsingh Thakur S S Reddy Balasubramanya K R M Joshi |
author_sort |
Suresh V Sagarad |
title |
Echocardiography Guided Therapy for Myocarditis after Scorpion Sting Envenomation |
title_short |
Echocardiography Guided Therapy for Myocarditis after Scorpion Sting Envenomation |
title_full |
Echocardiography Guided Therapy for Myocarditis after Scorpion Sting Envenomation |
title_fullStr |
Echocardiography Guided Therapy for Myocarditis after Scorpion Sting Envenomation |
title_full_unstemmed |
Echocardiography Guided Therapy for Myocarditis after Scorpion Sting Envenomation |
title_sort |
echocardiography guided therapy for myocarditis after scorpion sting envenomation |
publisher |
JCDR Research and Publications Private Limited |
series |
Journal of Clinical and Diagnostic Research |
issn |
2249-782X 0973-709X |
publishDate |
2013-12-01 |
description |
Objective: This study was to evaluate echocardiographic
findings and its usefulness in clinical management of patients
with scorpion sting envenomation.
Material and Methods: A total of 84 consecutive patients
were prospectively studied. The data included demographics,
at the time of presentation to the hospital, the clinical features,
echocardiographic findings, admission to intensive care unit, use
of inotropic medication, time to discharge, and mortality.
Results: Out of 84 patients studied 60 patients (71.4%) had
echocardiographic evidence of myocarditis (LVEF <50%). Majority of patients had LVEF <40% (50 patients, 83.3%). Severe
LV dysfunction (LVEF <30%) was noted in 20 patients (33.3%).
No patient had significant valvular regurgitation. RV dysfunction
was noted in half of the patients who had LV dysfunction. RV
dysfunction was not seen in isolation. Twenty four patients
without evidence of myocarditis on echocardiography were
observed in general wards and were discharged in 24 to 48
hours of admission. Ten patients with mild LV dysfunction (LVEF
50-40%) and 20 patients with moderate LV dysfunction were
observed in high dependency units with regular monitoring for
24 to 48 hours. Only 3 patients were put on inotropics support
and others could be discharged in 72 to 96 hours. All the patients
with severe LV dysfunction and moderate LV dysfunction with
significant RV dysfunction were admitted in intensive care unit
irrespective of symptoms (Total 30 patients). These patients were
put on inotropics support. Among severe LV dysfunction group,
4 patients required ventilator support and 2 (2.3%) patients died
with refractory shock and multi-organ failure. Tachycardia, muffled
and or gallop heart sounds and hypertension didn’t predict
presence of LV dysfunction. Persistent hypotension requiring
inotropics support was a marker of severe LV dysfunction.
Conclusion: Echocardiography is a useful tool in emergency to
assess LV function in patients with scorpion sting envenomation.
It can guide therapy by identifying patients with severe LV
dysfunction. |
topic |
scorpion myocarditis envenomation echocardiography |
url |
https://jcdr.net/articles/PDF/3693/49-%206791_E(C)_F(DK)_PF1(VP)_PFA(H)_OLF_(U)_PF2(PP).pdf |
work_keys_str_mv |
AT sureshvsagarad echocardiographyguidedtherapyformyocarditisafterscorpionstingenvenomation AT sudhabiradarkerure echocardiographyguidedtherapyformyocarditisafterscorpionstingenvenomation AT balaramsinghthakur echocardiographyguidedtherapyformyocarditisafterscorpionstingenvenomation AT ssreddy echocardiographyguidedtherapyformyocarditisafterscorpionstingenvenomation AT balasubramanyak echocardiographyguidedtherapyformyocarditisafterscorpionstingenvenomation AT rmjoshi echocardiographyguidedtherapyformyocarditisafterscorpionstingenvenomation |
_version_ |
1724570147756179456 |