A Case of Pseudoinfarction Pattern in Diabetic Ketoacidosis: A Diagnostic and Therapeutic Dilemma

Diabetic ketoacidosis (DKA) is regularly associated with hyperkalemia that results in well-described changes on the electrocardiogram (EKG). However, ST-segment elevations on EKG mimicking acute myocardial infarction have rarely been described in the setting of DKA. Here we present a case of a 43-ye...

Descripción completa

Detalles Bibliográficos
Autores principales: Sharma, Eliza, Dahal, Suyash, Sharma, Pratibha, Ghimire, Dipesh KC, Dahal, Sumit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elmer Press 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6089466/
https://www.ncbi.nlm.nih.gov/pubmed/30116454
http://dx.doi.org/10.14740/cr747w
_version_ 1783347027448430592
author Sharma, Eliza
Dahal, Suyash
Sharma, Pratibha
Ghimire, Dipesh KC
Dahal, Sumit
author_facet Sharma, Eliza
Dahal, Suyash
Sharma, Pratibha
Ghimire, Dipesh KC
Dahal, Sumit
author_sort Sharma, Eliza
collection PubMed
description Diabetic ketoacidosis (DKA) is regularly associated with hyperkalemia that results in well-described changes on the electrocardiogram (EKG). However, ST-segment elevations on EKG mimicking acute myocardial infarction have rarely been described in the setting of DKA. Here we present a case of a 43-year-old male with DKA who had pseudoinfarction pattern of ST-segment elevation on EKG that resolved with treatment of DKA and discuss the diagnostic and therapeutic dilemma around the condition.
format Online
Article
Text
id pubmed-6089466
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Elmer Press
record_format MEDLINE/PubMed
spelling pubmed-60894662018-08-16 A Case of Pseudoinfarction Pattern in Diabetic Ketoacidosis: A Diagnostic and Therapeutic Dilemma Sharma, Eliza Dahal, Suyash Sharma, Pratibha Ghimire, Dipesh KC Dahal, Sumit Cardiol Res Case Report Diabetic ketoacidosis (DKA) is regularly associated with hyperkalemia that results in well-described changes on the electrocardiogram (EKG). However, ST-segment elevations on EKG mimicking acute myocardial infarction have rarely been described in the setting of DKA. Here we present a case of a 43-year-old male with DKA who had pseudoinfarction pattern of ST-segment elevation on EKG that resolved with treatment of DKA and discuss the diagnostic and therapeutic dilemma around the condition. Elmer Press 2018-08 2018-08-10 /pmc/articles/PMC6089466/ /pubmed/30116454 http://dx.doi.org/10.14740/cr747w Text en Copyright 2018, Sharma et al. http://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution Non-Commercial 4.0 International License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Sharma, Eliza
Dahal, Suyash
Sharma, Pratibha
Ghimire, Dipesh KC
Dahal, Sumit
A Case of Pseudoinfarction Pattern in Diabetic Ketoacidosis: A Diagnostic and Therapeutic Dilemma
title A Case of Pseudoinfarction Pattern in Diabetic Ketoacidosis: A Diagnostic and Therapeutic Dilemma
title_full A Case of Pseudoinfarction Pattern in Diabetic Ketoacidosis: A Diagnostic and Therapeutic Dilemma
title_fullStr A Case of Pseudoinfarction Pattern in Diabetic Ketoacidosis: A Diagnostic and Therapeutic Dilemma
title_full_unstemmed A Case of Pseudoinfarction Pattern in Diabetic Ketoacidosis: A Diagnostic and Therapeutic Dilemma
title_short A Case of Pseudoinfarction Pattern in Diabetic Ketoacidosis: A Diagnostic and Therapeutic Dilemma
title_sort case of pseudoinfarction pattern in diabetic ketoacidosis: a diagnostic and therapeutic dilemma
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6089466/
https://www.ncbi.nlm.nih.gov/pubmed/30116454
http://dx.doi.org/10.14740/cr747w
work_keys_str_mv AT sharmaeliza acaseofpseudoinfarctionpatternindiabeticketoacidosisadiagnosticandtherapeuticdilemma
AT dahalsuyash acaseofpseudoinfarctionpatternindiabeticketoacidosisadiagnosticandtherapeuticdilemma
AT sharmapratibha acaseofpseudoinfarctionpatternindiabeticketoacidosisadiagnosticandtherapeuticdilemma
AT ghimiredipeshkc acaseofpseudoinfarctionpatternindiabeticketoacidosisadiagnosticandtherapeuticdilemma
AT dahalsumit acaseofpseudoinfarctionpatternindiabeticketoacidosisadiagnosticandtherapeuticdilemma
AT sharmaeliza caseofpseudoinfarctionpatternindiabeticketoacidosisadiagnosticandtherapeuticdilemma
AT dahalsuyash caseofpseudoinfarctionpatternindiabeticketoacidosisadiagnosticandtherapeuticdilemma
AT sharmapratibha caseofpseudoinfarctionpatternindiabeticketoacidosisadiagnosticandtherapeuticdilemma
AT ghimiredipeshkc caseofpseudoinfarctionpatternindiabeticketoacidosisadiagnosticandtherapeuticdilemma
AT dahalsumit caseofpseudoinfarctionpatternindiabeticketoacidosisadiagnosticandtherapeuticdilemma

Ejemplares similares