Abstract:
The saw-scaled viper (Echis carinatus) is considered to be a venomous snake which is especially seen in Northern Sri Lanka.
Systemic manifestations are rare and reported complications include coagulopathy and renal impairment. The cardiac toxicity
following snakebites is rare and cardiac involvement following the saw-scaled viper bites is extremely rare. Here, we describe
a patient with acute myocardial infarction following systemic envenoming by saw-scaled viper in Northern Sri Lanka, which
was successfully managed per ward protocol following national guidelines.