The University of Copenhagen financially supported the study through an unrestricted grant to Rebecca Langhorn.
Myocardial injury in dogs with snake envenomation and its relation to systemic inflammation
Article first published online: 4 DEC 2013
© Veterinary Emergency and Critical Care Society 2013
Journal of Veterinary Emergency and Critical Care
Volume 24, Issue 2, pages 174–181, March/April 2014
How to Cite
Langhorn, R., Persson, F., Åblad, B., Goddard, A., Schoeman, J. P., Willesen, J. L., Tarnow, I. and Kjelgaard-Hansen, M. (2014), Myocardial injury in dogs with snake envenomation and its relation to systemic inflammation. Journal of Veterinary Emergency and Critical Care, 24: 174–181. doi: 10.1111/vec.12127
The authors declare no conflict of interests.
Offprints will not be available from the authors.
- Issue published online: 16 APR 2014
- Article first published online: 4 DEC 2013
- Manuscript Accepted: 29 OCT 2013
- Manuscript Received: 7 JAN 2013
- University of Copenhagen financially
- cardiac troponin I;
- companion animals;
To investigate the presence of myocardial injury in dogs hospitalized for snake envenomation and to examine its relationship with systemic inflammation.
Prospective case-control study.
University teaching hospital and small animal referral hospital.
Dogs naturally envenomed by the European viper (Vipera berus; n = 24), African puff adder (Bitis arietans; n = 5), or snouted cobra (Naja annulifera; n = 9).
Blood was collected from dogs envenomed by V. berus at admission, 12–24 hours postadmission, and 5–10 days postadmission. Blood was collected from dogs envenomed by B. arietans or N. annulifera at admission, and 12, 24, and 36 hours postadmission.
Measurements and Main Results
Concentrations of cardiac troponin I (cTnI), a marker of myocardial injury, and C-reactive protein (CRP), a marker of systemic inflammation, were measured in each blood sample. Evidence of myocardial injury was found in 58% of dogs envenomed by V. berus at one or more time points. A significant correlation between cTnI and CRP concentrations was found at all time points. Evidence of myocardial injury was found in 80% of dogs envenomed by B. arietans at one or more time points; however, no correlation was found between cTnI and CRP concentrations. Evidence of myocardial injury was found in 67% of dogs envenomed by N. annulifera at one or more time points. A significant correlation between cTnI and CRP concentrations was found at admission, but not at other time points.
Myocardial injury frequently occurred in dogs with snake envenomation. While the degree of systemic inflammation was significantly correlated with degree of myocardial injury in V. berus envenomation at all time points, this was not the case in dogs envenomed by N. annulifera or B. arietans. This could be due to differences in the toxic substances of the snake venoms or to differences in the cytokines induced by the venom toxins.