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Review
. 2021;91(2):186-189.
doi: 10.24875/ACM.20000035.

Idioventricular rhythm and shock after a honeybee sting

Desireé Franco-Lugo  1 , Denise A Uribe-Vallarta  1 , Karen D Bernal-Contreras  1 , Valerie P Vargas-Abonce  2 , Enrique Soto-Pérez-De-Celis  3 , Jaime Rivera-Figueroa  4 , Daniel Cuevas-Ramos  5 , Francisco J Gómez-Pérez  5 , Miguel Á Gómez-Sámano  5
Affiliations
Review

Idioventricular rhythm and shock after a honeybee sting

Desireé Franco-Lugo et al. Arch Cardiol Mex. 2021.

Abstract
in English, Spanish

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.

Objetivo: Describir el caso de un paciente masculino de 19 años que presenta bradicardia e hipotensión después de una picadura de abeja haciendo una revisión de la literatura y fisiopatología de los cambios cardiovasculares y electrocardiográficos después de una picadura de abeja.

Métodos: Se inspeccionó y aseguró la vía aérea del paciente. Un rastreo de ECG realizado al ingreso reveló ritmo idioventricular a una ritmo de 41 latidos por minuto. Se administró oxígeno, se estableció un acceso IV y se colocaron los cables del marcapasos transcutáneo en el tórax del paciente, luego se indujo el manejo de las guías publicadas.

Resultados: El electrocardiograma mostró un ritmo idioventricular a una frecuencia de 41 latidos por minuto que se resolvió a un ritmo sinusal normal después del tratamiento.

Conclusiones: Se debe realizar una evaluación cardiovascular completa y rápida en todos los pacientes que se presentan al departamento de emergencias después de una picadura de abeja, y se deben seguir las pautas publicadas sobre el manejo de la bradicardia y la anafilaxia para lograr resultados exitosos.

Keywords: Honeybee sting; Bradicardia; Bradycardia; Idioventricular rhythm; Picadura de abeja; Ritmo idioventricular.

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Conflict of interest statement

None.

Figures

Figure 1
Figure 1
Admission electrocardiogram. It shows an idioventricular rhythm at 41’ bpm.
Figure 2
Figure 2
Post-treatment electrocardiogram. After administration of 0.5 mg intravenous of atropine, it is seen a normal sinus rhythm with 65’ bpm.
See this image and copyright information in PMC

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