The cardiovascular responses to Bothrops al-ternatus snake venom in anesthetized dogs were investigated. Venom (0.3 mg/kg, i.v.) markedly decreased arterial blood pressure, coronary perfusion pressure, and cardiac output (CO) after 5 min, with progressive recovery of the first two parameters to pre-venom levels after 3 h; CO showed little recovery. There was an abrupt, sustained decrease in left and right ventricular systolic work and stroke volume but no significant changes in heart rate, electrocardiogram, and pulmonary hemodynamics; systemic vascular resistance increased from 1 h onwards. A venom dose of 1 mg/kg produced more pronounced cardiovascular alterations, with a progressive decrease to death. There were no significant changes in blood gas (pO2, pCO2, HCO3, SBC, and SBE) and metabolic (pH, lactate, glucose, creatine kinase activity, Na?, and K ?) parameters although there was a transitory increase in plasma lactate dehydrogenase 2 min after the lower venom dose. There were no cardiac histological alterations, but microaneurysms and epithelial desquamation were seen in renal tubules. Circulating venom concentrations (determined by ELISA) decreased rapidly after administration, but venom was still detectable after 4 h. These results show that in dogs, B. alternatus venom produces marked hypotension and a direct cardiac action, with few metabolic alterations. © 2011 Springer Science+Business Media, LLC.123243257Warrell, D.A., Snakebites in Central and South America: Epidemiology, clinical features and clinical management (2004) Venomous Reptiles of the Western Hemisphere, 2, pp. 709-761. , J. A. Campbell & W. W. Lamar (Eds.) 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