{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T04:50:43Z","timestamp":1784782243571,"version":"3.55.0"},"reference-count":30,"publisher":"Baishideng Publishing Group Inc.","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World J Cardiol"],"abstract":"<jats:p>BACKGROUND<\/jats:p>\n          <jats:p>Bothrops  envenomation is a common medical emergency in tropical areas and is characterized by local and systemic complications, such as edema, coagulopathy, and tissue necrosis. Cardiovascular manifestations are rare and poorly documented, contributing to the complexity of its clinical management.<\/jats:p>\n          <jats:p>CASE SUMMARY<\/jats:p>\n          <jats:p>We described a rare cardiac complication in a 65-year-old female patient, who initially presented with mild Bothrops  envenomation. She experienced localized edema and erythema but with a lack of systemic symptoms. During the evaluation we detected asymptomatic sinus bradycardia and QTc prolongation (523 milliseconds) that progressed to severe arrhythmias that required implantation of a permanent pacemaker. Management included the administration of polyvalent antiphonic serum, fresh frozen plasma transfusions, and intensive care unit monitoring. Imaging and laboratory studies ruled out ischemic, metabolic, or electrolytic etiologies for the cardiac alterations. The patient recovered favorably after the intervention and was discharged without further complications.<\/jats:p>\n          <jats:p>CONCLUSION<\/jats:p>\n          <jats:p>This case underscored the need for cardiac monitoring after snakebite envenomation as well as further research on venom-induced cardiotoxic mechanisms.<\/jats:p>","DOI":"10.4330\/wjc.v17.i7.106828","type":"journal-article","created":{"date-parts":[[2025,7,22]],"date-time":"2025-07-22T01:58:53Z","timestamp":1753149533000},"source":"Crossref","is-referenced-by-count":2,"title":["<i>Bothrops<\/i> bite and cardiac complications: A case report and review of literature"],"prefix":"10.4330","volume":"17","author":[{"given":"Juan S","family":"Acosta","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Cifuentes Tarquino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua E","family":"Arteaga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2060","published-online":{"date-parts":[[2025,7,26]]},"reference":[{"key":"B1","unstructured":"Instituto Nacional de Salud.   1.546 accidentes of\u00eddicos han sido reportados en 2024 en el pa\u00eds. 2024. [cited 7 March 2025]. Available from: www.ins.gov.co\/Noticias\/Paginas\/1.546-accidentes-of\u00eddicos-han-sido-reportados-en-2024-en-el-pa\u00eds.aspx#:~:text=Seg\u00fan%20cifras%20del%20INS%2C%20en,1.529%20ocurrieron%20en%20territorio%20colombiano"},{"key":"B2","doi-asserted-by":"crossref","unstructured":"Instituto Nacional de Salud.   Informe de evento. Accidente Of\u00eddico. Periodo epidemiol\u00f3gico 06 2024. [cited 7 March 2025]. Available from: www.ins.gov.co\/buscador-eventos\/Informesdeevento\/ACCIDENTE%20OF\u00cdDICO%20PE%20VI%202024.pdf","DOI":"10.33610\/239753scosza"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.7705\/biomedica.4830"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.2147\/DHPS.S367757"},{"key":"B5","doi-asserted-by":"crossref","unstructured":"Otero-Pati\u00f1o R.   Snake Bites in Colombia. In: Vogel CW, Seifert S, Tambourgi D, editors. Clinical Toxinology in Australia, Europe, and Americas. 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CIMEL 2014; 1"},{"key":"B20","unstructured":"Sunil KK, Joseph JK, Joseph S, Varghese AM, Jose MP. Cardiac Involvement in Vasculotoxic and Neurotoxic Snakebite - A not so Uncommon Complication. 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