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Peer-reviewed veterinary case report

Ventricular arrhythmias induced by snake bite in a horse: A case report.

Journal:
Journal of equine veterinary science
Year:
2025
Authors:
Ramos, G V et al.
Affiliation:
Department of Veterinary Clinics and Surgery (DCCV) · Brazil
Species:
horse

Plain-English summary

A Mangalarga Marchador mare was brought in for treatment after being poisoned by a snake. She showed signs of a fast and irregular heartbeat, which was confirmed by an electrocardiogram that revealed specific patterns of abnormal heartbeats. These patterns indicated that her heart was experiencing serious issues likely due to the snake bite. This case highlights the need for careful heart evaluations in horses that have been bitten by snakes, and it appears to be the first documented instance of these particular heart problems caused by snake bites in horses. The treatment's effectiveness was not detailed, but the findings emphasize the importance of monitoring heart health in such cases.

Abstract

A Mangalarga Marchador mare was referred to treatment with a history of poisoning with evident tachyarrhythmia detected on cardiac auscultation. The electrocardiogram was performed and detected occurrences of paroxysmal monomorphic ventricular bigeminy (pMVB), pMVB with pairs of premature ventricular contractions (PVC) (pMVBPC), and paroxysmal monomorphic ventricular tachycardia (pMVT). In all cases, incomplete atrioventricular dissociation and coupling variation are observed. These characteristics, associated with non-reduction of successive subsequent coupling intervals and the absence of typical characteristics of the Wenckebach phenomenon between PVC occurrences, reinforce the hypothesis of the presence of reentry and rule out the possibility of parasystole. Given the above, this report shows the importance of cardiac evaluations in horses affected by snake bites and, as far as the authors could ascertain, this is the first report on the occurrence of pMVB, pMVBPC in horses and on the description of pMVT caused by snake bites of the genus Bothrops sp.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/41173115/