PMC8042544_01
The dead specimen of saw-scaled viper (SSV) (Echis carinatus) which was brought by the patient.
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The dead snake was brought by the patient and identified by medical professional and subsequently was confirmed by herpetologist as SSV (E. carinatus) (shown in Figure 1).
The 12-lead electrocardiography (ECG) showed ST elevation in leads I, aVL and ST depression in II, aVF, V4 to V6 pre-thrombolytic therapy and resolution of ECG changes following thrombolytic therapy in patient with saw-scaled viper (SSV) (Echis carinatus) envenomation.
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Twelve-lead ECG showed ST elevation in leads I, aVL and ST depression in II, aVF, V4 to V6 (shown in Figure 2).
The coronary angiography showed normal (a) right and (b) left coronary arteries in the patient with saw-scaled viper (SSV) (Echis carinatus) envenomation.
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One week later, coronary angiography was performed and showed normal coronary epicardial arteries (shown in Figure 3(a) and (b)).