Satish Roplekar, Kanchan Roplekar, Yashawant Rajebhosale, Ashish Deshpande, Kedar Roplekar
Director Cath Lab & Senior Interventional Cardiologist, Ruby Heart Care Centre, Tilak Nagar, Veer Sawarkar Chowk, Aurangabad 431005, Maharashtra, India.
Indian Heart J. 2013 May-Jun;65(3):327-30. doi: 10.1016/j.ihj.2013.04.029. Epub 2013 Apr 11.
Acute myocardial infarction following snake bite is rare with few reported cases in literature. A 60-year-old male underwent uneventful stenting to a critical stenosis in left anterior descending coronary artery in June 2012. A month later, he presented to the local hospital with history of snake bite. During admission he developed chest pain with ST-segment elevation in anterior leads consistent with stent thrombosis. He was successfully thrombolysed and his coronary angiogram 5 days later revealed patent stent with TIMI III flow and no evidence of thrombus.
蛇咬伤后发生急性心肌梗死很罕见，文献中报道的病例很少。一名60岁男性于2012年6月因左前降支冠状动脉严重狭窄接受了顺利的支架置入术。一个月后，他因蛇咬伤史就诊于当地医院。住院期间，他出现胸痛，前壁导联ST段抬高，符合支架血栓形成。他成功接受了溶栓治疗，5天后冠状动脉造影显示支架通畅，TIMI血流3级，无血栓证据。
