Evidence map›Paper›PMID 27803018›Full record

ReviewBMJ case reports2016

Possible complication of bee stings and a review of the cardiac effects of bee stings.

Prabha Nini Gupta, B Krishna Kumar, Praveen Velappan, M D Sudheer

Abstract readCase ReportsReview
In one paragraph

Review in BMJ case reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.2field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Binodal Disease after a Hornet Bee Sting.Acta Cardiologica Sinica · 2023
    Article
  4. Kounis syndrome and atrial fibrillation after bee sting: A case report.Journal of family medicine and primary care · 2022
    Article
  5. Article
  6. Article
  7. Idioventricular rhythm and shock after a honeybee sting.Archivos de cardiologia de Mexico · 2021
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Prabha Nini GuptaDepartment of Cardiology, Medical College Hospital, Trivandrum, Trivandrum, Kerala, India.
B Krishna KumarDepartment of Cardiology, Medical College Hospital, Trivandrum, Trivandrum, Kerala, India.
Praveen VelappanDepartment of Cardiology, Medical College Hospital, Trivandrum, Trivandrum, Kerala, India.
M D SudheerDepartment of Cardiology, Medical College Hospital, Trivandrum, Trivandrum, Kerala, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report the case of a patient who, ∼3 weeks after multiple bee stings, developed a prolonged heart block, syncope and cardiac arrest. This required a temporary pacemaker to be implanted, which was later replaced with a permanent pacemaker. An ECG taken following surgery for a fractured humerus 6 years earlier was reportedly normal. The patient had been a rubber tapper who walked ∼1.5 km/day, but after the bee attack he was no longer able to walk or get up from the bed without experiencing syncope. We presume that the bee venom caused these signs, as well as the resulting heart block, which persisted long after the bee sting had subsided. Since his coronary angiogram was normal we believe he had a Kounis type involvement of the cardiovascular system, namely profound coronary spasm that caused complete heart block that did not recover. Another probable reason for the complete heart block could have been that the bees had consumed the pollen of a rhododendron flower, causing 'grayanotoxin' poisoning and severe heart block. The other effects of bee sting are discussed briefly.

Indexed as

BeesAnimalsBee VenomsBites and StingsElectrocardiographyHeart BlockHumansMaleMiddle AgedMyocardial InfarctionSyncopeBee Venoms

Identifiers

PMID27803018
PMCPMC5129152
OpenAlexW2548362409

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.