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Pseudomyocardial Infarction in a Patient with Severe Diabetic Ketoacidosis and Mild Hyperkalemia
Joint Authors
Carrizales-Sepúlveda, Edgar Francisco
del Cueto-Aguilera, Ángel Noé
Jiménez-Castillo, Raúl Alberto
de la Cruz-Mata, Olga Norali
Fikir-Ordoñez, Mariana
Vera-Pineda, Raymundo
Hernández-Guajardo, Dalí Alejandro
Ordaz-Farías, Alejandro
Flores-Ramírez, Ramiro
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-03-31
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
A 48-year-old male with a prior diagnosis of diabetes mellitus presented to the emergency department with malaise and nausea.
On work-up, he was found with hyperglycemia and high anion gap metabolic acidosis, with a blood pH<6.94.
A diagnosis of severe diabetic ketoacidosis was established; serum electrolyte analysis showed mild hyperkalemia.
On work-up, a 12-lead electrocardiogram was obtained, and it showed an ST-segment elevation on anterior leads that completely resolved with diabetic ketoacidosis treatment.
ST-segment elevation myocardial infarction can be a precipitant factor for diabetic ketoacidosis, and evaluation of diabetic patients with suspected myocardial infarction can be challenging since they can present with atypical or little symptoms.
Hyperkalemia, which usually accompanies diabetic ketoacidosis, can cause electrocardiographic alterations that are well described, but ST-segment elevation is uncommon.
A pseudomyocardial infarction pattern has been described in patients with diabetic ketoacidosis; of note, most of these patients presented severe hyperkalemia.
We believe this is of great importance for clinicians because they must be able to recognize those patients that present with electrocardiographic abnormalities secondary to the metabolic alterations and those that can be experiencing actual ongoing ischemia, in order to establish an appropriate and prompt treatment.
American Psychological Association (APA)
Carrizales-Sepúlveda, Edgar Francisco& del Cueto-Aguilera, Ángel Noé& Jiménez-Castillo, Raúl Alberto& de la Cruz-Mata, Olga Norali& Fikir-Ordoñez, Mariana& Vera-Pineda, Raymundo…[et al.]. 2019. Pseudomyocardial Infarction in a Patient with Severe Diabetic Ketoacidosis and Mild Hyperkalemia. Case Reports in Cardiology،Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1133697
Modern Language Association (MLA)
Carrizales-Sepúlveda, Edgar Francisco…[et al.]. Pseudomyocardial Infarction in a Patient with Severe Diabetic Ketoacidosis and Mild Hyperkalemia. Case Reports in Cardiology No. 2019 (2019), pp.1-4.
https://search.emarefa.net/detail/BIM-1133697
American Medical Association (AMA)
Carrizales-Sepúlveda, Edgar Francisco& del Cueto-Aguilera, Ángel Noé& Jiménez-Castillo, Raúl Alberto& de la Cruz-Mata, Olga Norali& Fikir-Ordoñez, Mariana& Vera-Pineda, Raymundo…[et al.]. Pseudomyocardial Infarction in a Patient with Severe Diabetic Ketoacidosis and Mild Hyperkalemia. Case Reports in Cardiology. 2019. Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1133697
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1133697