ST-Segment Elevation in the Setting of Diabetic Ketoacidosis: Is It Acute Coronary Syndrome?

Diabetic ketoacidosis (DKA) with resulting hyperkalemia can lead to ST-segment elevations on electrocardiogram (ECG). Previous publications theorize that significant improvements in patient potassium levels lead to the resolution of this rare phenomenon, also known as "pseudo-infarct" patt...

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Detalles Bibliográficos
Autores principales: Wray, Jesse, Yoo, Michael J, Bridwell, Rachel E, Tannenbaum, Lloyd, Henderson, Jonathan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Cardiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7182167/
https://www.ncbi.nlm.nih.gov/pubmed/32337133
http://dx.doi.org/10.7759/cureus.7409
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author Wray, Jesse
Yoo, Michael J
Bridwell, Rachel E
Tannenbaum, Lloyd
Henderson, Jonathan
author_facet Wray, Jesse
Yoo, Michael J
Bridwell, Rachel E
Tannenbaum, Lloyd
Henderson, Jonathan
author_sort Wray, Jesse
collection PubMed
description Diabetic ketoacidosis (DKA) with resulting hyperkalemia can lead to ST-segment elevations on electrocardiogram (ECG). Previous publications theorize that significant improvements in patient potassium levels lead to the resolution of this rare phenomenon, also known as "pseudo-infarct" pattern. The authors provide a unique case along with a literature review of DKA-associated ST-segment elevations. This specific case distinctively demonstrates the resolution of the pseudo-infarct pattern in the setting of minor improvements in serum potassium and continued acidosis.
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spelling pubmed-71821672020-04-24 ST-Segment Elevation in the Setting of Diabetic Ketoacidosis: Is It Acute Coronary Syndrome? Wray, Jesse Yoo, Michael J Bridwell, Rachel E Tannenbaum, Lloyd Henderson, Jonathan Cureus Cardiology Diabetic ketoacidosis (DKA) with resulting hyperkalemia can lead to ST-segment elevations on electrocardiogram (ECG). Previous publications theorize that significant improvements in patient potassium levels lead to the resolution of this rare phenomenon, also known as "pseudo-infarct" pattern. The authors provide a unique case along with a literature review of DKA-associated ST-segment elevations. This specific case distinctively demonstrates the resolution of the pseudo-infarct pattern in the setting of minor improvements in serum potassium and continued acidosis. Cureus 2020-03-25 /pmc/articles/PMC7182167/ /pubmed/32337133 http://dx.doi.org/10.7759/cureus.7409 Text en Copyright © 2020, Wray et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiology
Wray, Jesse
Yoo, Michael J
Bridwell, Rachel E
Tannenbaum, Lloyd
Henderson, Jonathan
ST-Segment Elevation in the Setting of Diabetic Ketoacidosis: Is It Acute Coronary Syndrome?
title ST-Segment Elevation in the Setting of Diabetic Ketoacidosis: Is It Acute Coronary Syndrome?
title_full ST-Segment Elevation in the Setting of Diabetic Ketoacidosis: Is It Acute Coronary Syndrome?
title_fullStr ST-Segment Elevation in the Setting of Diabetic Ketoacidosis: Is It Acute Coronary Syndrome?
title_full_unstemmed ST-Segment Elevation in the Setting of Diabetic Ketoacidosis: Is It Acute Coronary Syndrome?
title_short ST-Segment Elevation in the Setting of Diabetic Ketoacidosis: Is It Acute Coronary Syndrome?
title_sort st-segment elevation in the setting of diabetic ketoacidosis: is it acute coronary syndrome?
topic Cardiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7182167/
https://www.ncbi.nlm.nih.gov/pubmed/32337133
http://dx.doi.org/10.7759/cureus.7409
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