Idioventricular rhythm and shock after a honeybee sting

• Published in: Archivos de cardiologia de Mexico Vol. 91; no. 2; pp. 186 - 189
• Main Authors: Franco-Lugo, Desireé, Uribe-Vallarta, Denise A, Bernal-Contreras, Karen D, Vargas-Abonce, Valerie P, Soto-Pérez-De-Celis, Enrique, Rivera-Figueroa, Jaime, Cuevas-Ramos, Daniel, Gómez-Pérez, Francisco J, Gómez-Sámano, Miguel Á
• Format: Journal Article
• Language: English
• Published: Mexico Permanyer Publications 01-01-2021
• Subjects: Animals; Arrhythmias, Cardiac - diagnosis; Arrhythmias, Cardiac - etiology; Bees; Bradycardia - etiology; Bradycardia - therapy; Electrocardiography; Heart Rate - physiology; Humans; Insect Bites and Stings - complications; Male; Pacemaker, Artificial; Shock; Bradycardia; Honeybee sting; Idioventricular rhythm; Picadura de abeja; Bradicardia; Ritmo idioventricular
• ISSN: 1405-9940; 1665-1731
• DOI: 10.24875/ACM.20000035

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.
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.
The EKG showed idioventricular rhythm at a rate of 41 beats/min that resolved to a normal sinus rhythm after treatment.
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.