Electrocardiologic and echocardiographic features of patients exposed to scorpion bite
dc.contributor.author | Alan, S | |
dc.contributor.author | Ulgen, MS | |
dc.contributor.author | Soker, M | |
dc.contributor.author | Geyik, F | |
dc.contributor.author | Karabulut, A | |
dc.contributor.author | Toprak, N | |
dc.date.accessioned | 2024-04-24T17:14:31Z | |
dc.date.available | 2024-04-24T17:14:31Z | |
dc.date.issued | 2004 | |
dc.department | Dicle Üniversitesi | en_US |
dc.description.abstract | The purpose of this study is to examine clinical progress and hemodynamic and electrocardiologic features (QT depression and heart rate variability [HRV]) of patients exposed to a scorpion bite. Seventeen patients bitten by scorpions, and, as a control group, 15 healthy subjects were included in the study. Standard electrocardiograph (ECG) records, 24-hour Holter-ECG, and Doppler echocardiographic examinations were performed. Holter ECG indicated sinus tachycardia, sinus bradycardia, paroxysmal supraventricular tachycardia, atrial fibrillation, first-degree and second-degree atrioventricular block not requiring treatment, early atrial beats, and early ventricular beats in the patients at frequencies of 82%, 12%, 35%, 12%, 8%, 70%, and 47%, respectively. HRV parameters that reflected parasympathetic activity (SD 35 +/-13-43 +/-16, RMS-SD: 20 +/-9-30 +/-12, high frequency: 7.8 +/-2-4.3 +/-3, p<0.05) were significantly lower (p<0.05). Low frequency, which especially showed sympathetic activity (LF: 11 +/-13 - 11 +/-23, p > 0.05), was similar in both groups. In addition, the LF/HF ratio, which reflected sympathovagal balance, was significantly increased in the patient group (1.5 +/-1-3.0 +/-2, p = 0.005). Corrected QT and QT dispersion values were not significantly different with respect to the control (p > 0.05). In the patient group compared to the control, a significant decrease was determined in the proportion of mitral E velocity to mitral A velocity (mEv/mAv), diastolic filling period (DFP), and left ventricular ejection fraction (LVEF), while a significant increase was noticed in pulmonary artery pressure (PAP) (mEv/mAv: 0.9 +/-0.4-1.7 +/-0.6, DFP: 362 +/-8.5-425 +/-89, LVEF: 53.1 +/-6.7-68.6 +/-5.8, PAP: 38.1 +/-13-27.2 +/-6, p<0.05). Scorpion bite leads to serious cardiovascular disorders, associated with decreased HRV, decreased systolic and diastolic functions, increased arrhythmic events, and hemodynamic disturbance with sympathetic and parasympathetic balance disturbance. | en_US |
dc.identifier.doi | 10.1177/000331970405500111 | |
dc.identifier.endpage | 84 | en_US |
dc.identifier.issn | 0003-3197 | |
dc.identifier.issn | 1940-1574 | |
dc.identifier.issue | 1 | en_US |
dc.identifier.pmid | 14759093 | |
dc.identifier.scopus | 2-s2.0-0346463178 | |
dc.identifier.scopusquality | Q2 | |
dc.identifier.startpage | 79 | en_US |
dc.identifier.uri | https://doi.org/10.1177/000331970405500111 | |
dc.identifier.uri | https://hdl.handle.net/11468/18028 | |
dc.identifier.volume | 55 | en_US |
dc.identifier.wos | WOS:000188084600011 | |
dc.identifier.wosquality | Q4 | |
dc.indekslendigikaynak | Web of Science | |
dc.indekslendigikaynak | Scopus | |
dc.indekslendigikaynak | PubMed | |
dc.language.iso | en | en_US |
dc.publisher | Sage Publications Inc | en_US |
dc.relation.ispartof | Angiology | |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.rights | info:eu-repo/semantics/closedAccess | en_US |
dc.subject | [No Keyword] | en_US |
dc.title | Electrocardiologic and echocardiographic features of patients exposed to scorpion bite | en_US |
dc.title | Electrocardiologic and echocardiographic features of patients exposed to scorpion bite | |
dc.type | Article | en_US |