{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T04:50:45Z","timestamp":1784782245144,"version":"3.55.0"},"reference-count":26,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2018,9,1]],"date-time":"2018-09-01T00:00:00Z","timestamp":1535760000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Wilderness &amp; Environmental Medicine"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:p> Cardiac ischemia or myocardial infarction after pit viper envenomation is rare. Few case reports have been published, none describing cases reported after crotaline snake envenomation in the United States. We report a case of ST-segment elevation myocardial infarction (STEMI) occurring in a 73-year-old man after an envenomation by a juvenile canebrake rattlesnake ( Crotalus horridus).\u00a0The man was bitten on the left index finger and subsequently developed localized edema followed by hypotension, chest pain, and altered mental status.\u00a0His initial electrocardiogram revealed ST-segment elevation in the inferior and lateral leads.\u00a0His hospital course included emergent left heart catheterization with thrombectomy and cardiac stent placement. This case captures the unique medical situation involving the approach to treatment and management of a patient with a severe crotaline envenomation complicated by a STEMI. <\/jats:p>","DOI":"10.1016\/j.wem.2018.02.010","type":"journal-article","created":{"date-parts":[[2018,5,30]],"date-time":"2018-05-30T23:57:49Z","timestamp":1527724669000},"page":"383-387","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["ST Segment Elevation Myocardial Infarction Following a <i>Crotalus horridus<\/i> Envenomation"],"prefix":"10.1177","volume":"29","author":[{"given":"Christian H.","family":"Simpson","sequence":"first","affiliation":[{"name":"Palmetto Health\/USC School of Medicine, Columbia, SC (Dr Simpson)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William H.","family":"Richardson","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Palmetto Health Richland, Columbia, SC (Drs Richardson and Lloyd)"},{"name":"Palmetto Poison Center, USC College of Pharmacy, Columbia, SC (Dr Richardson)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Greg S.","family":"Swartzentruber","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Pinnacle Health Hospitals, Harrisburg, PA (Dr Swartzentruber)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent J.","family":"Lloyd","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Palmetto Health Richland, Columbia, SC (Drs Richardson and Lloyd)"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,9,1]]},"reference":[{"key":"bibr1-j.wem.2018.02.010","doi-asserted-by":"publisher","DOI":"10.1007\/s13181-017-0633-5"},{"key":"bibr2-j.wem.2018.02.010","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0b013e3182aa472f"},{"key":"bibr3-j.wem.2018.02.010","doi-asserted-by":"publisher","DOI":"10.1016\/1367-8280(94)90059-0"},{"key":"bibr4-j.wem.2018.02.010","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2013-201912"},{"key":"bibr5-j.wem.2018.02.010","doi-asserted-by":"publisher","DOI":"10.1186\/s13104-015-1426-z"},{"key":"bibr6-j.wem.2018.02.010","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.27.1.144"},{"key":"bibr7-j.wem.2018.02.010","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.47.5.500"},{"key":"bibr8-j.wem.2018.02.010","doi-asserted-by":"publisher","DOI":"10.1177\/004947559502500322"},{"key":"bibr9-j.wem.2018.02.010","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(96)00347-5"},{"key":"bibr10-j.wem.2018.02.010","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.2001.64.280"},{"key":"bibr11-j.wem.2018.02.010","doi-asserted-by":"publisher","DOI":"10.1186\/1756-0500-5-500"},{"key":"bibr12-j.wem.2018.02.010","doi-asserted-by":"publisher","DOI":"10.1258\/td.2012.120032"},{"issue":"6","key":"bibr13-j.wem.2018.02.010","first-page":"760","volume":"22","author":"Jang T.C.","year":"2011","journal-title":"J Korean Soc Emerg Med"},{"issue":"8","key":"bibr14-j.wem.2018.02.010","first-page":"227","volume":"48","author":"Agarwal R.","year":"2007","journal-title":"Singapore Med J"},{"key":"bibr15-j.wem.2018.02.010","first-page":"62","volume":"52","author":"Maheshwari M.","year":"2004","journal-title":"JAPI"},{"key":"bibr16-j.wem.2018.02.010","doi-asserted-by":"publisher","DOI":"10.1186\/1755-7682-6-7"},{"issue":"11","key":"bibr17-j.wem.2018.02.010","first-page":"1109","volume":"48","author":"Upadhyaya A.C.","year":"2000","journal-title":"J Assoc Physicians India"},{"key":"bibr18-j.wem.2018.02.010","doi-asserted-by":"publisher","DOI":"10.26719\/2010.16.4.438"},{"key":"bibr19-j.wem.2018.02.010","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.104.492942"},{"key":"bibr20-j.wem.2018.02.010","doi-asserted-by":"publisher","DOI":"10.1016\/j.ihj.2013.04.029"},{"issue":"6","key":"bibr21-j.wem.2018.02.010","first-page":"388","volume":"71","author":"Naidoo D.P.","year":"1987","journal-title":"S Afr Med J"},{"key":"bibr22-j.wem.2018.02.010","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(97)70109-4"},{"key":"bibr23-j.wem.2018.02.010","doi-asserted-by":"publisher","DOI":"10.1016\/1054-8807(93)90016-U"},{"key":"bibr24-j.wem.2018.02.010","doi-asserted-by":"publisher","DOI":"10.1186\/1471-227X-11-2"},{"key":"bibr25-j.wem.2018.02.010","doi-asserted-by":"publisher","DOI":"10.1067\/mem.2002.123698"},{"key":"bibr26-j.wem.2018.02.010","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2013.03.002"}],"container-title":["Wilderness &amp; 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