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Diabetic Ketoacidosis-Induced Cardiomyopathy and Reversible Dialysis-Dependent Renal Failure With Successful Outcome: A Report of a Rare Case

Stress-induced or Takotsubo cardiomyopathy (TCM) is a phenomenon that typically occurs in postmenopausal women in the setting of acute emotional or medical stressors. It typically causes reversible akinesis of the heart apex with opposite hyperdynamic basal segments. An electrocardiogram (ECG) would...

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Autores principales: Abbas, Ahmed, Patel, Nirav, Kazmi, Riyashat, Mirza, Noreen, Miller, Richard, Correia, Joaquim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9770522/
https://www.ncbi.nlm.nih.gov/pubmed/36569685
http://dx.doi.org/10.7759/cureus.31711
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author Abbas, Ahmed
Patel, Nirav
Kazmi, Riyashat
Mirza, Noreen
Miller, Richard
Correia, Joaquim
author_facet Abbas, Ahmed
Patel, Nirav
Kazmi, Riyashat
Mirza, Noreen
Miller, Richard
Correia, Joaquim
author_sort Abbas, Ahmed
collection PubMed
description Stress-induced or Takotsubo cardiomyopathy (TCM) is a phenomenon that typically occurs in postmenopausal women in the setting of acute emotional or medical stressors. It typically causes reversible akinesis of the heart apex with opposite hyperdynamic basal segments. An electrocardiogram (ECG) would show ischemic ST elevation in anterior leads in >90% of cases with elevated troponin, yet coronary angiography rules out occlusive disease. Takotsubo cardiomyopathy in the setting of diabetic ketoacidosis (DKA) is a rare phenomenon that has been attributed to severe acidosis. Here, we report the case of a 37-year-old male with severe DKA that was complicated by stress cardiomyopathy and progressed to cardiogenic shock.
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spelling pubmed-97705222022-12-22 Diabetic Ketoacidosis-Induced Cardiomyopathy and Reversible Dialysis-Dependent Renal Failure With Successful Outcome: A Report of a Rare Case Abbas, Ahmed Patel, Nirav Kazmi, Riyashat Mirza, Noreen Miller, Richard Correia, Joaquim Cureus Cardiology Stress-induced or Takotsubo cardiomyopathy (TCM) is a phenomenon that typically occurs in postmenopausal women in the setting of acute emotional or medical stressors. It typically causes reversible akinesis of the heart apex with opposite hyperdynamic basal segments. An electrocardiogram (ECG) would show ischemic ST elevation in anterior leads in >90% of cases with elevated troponin, yet coronary angiography rules out occlusive disease. Takotsubo cardiomyopathy in the setting of diabetic ketoacidosis (DKA) is a rare phenomenon that has been attributed to severe acidosis. Here, we report the case of a 37-year-old male with severe DKA that was complicated by stress cardiomyopathy and progressed to cardiogenic shock. Cureus 2022-11-20 /pmc/articles/PMC9770522/ /pubmed/36569685 http://dx.doi.org/10.7759/cureus.31711 Text en Copyright © 2022, Abbas et al. https://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
Abbas, Ahmed
Patel, Nirav
Kazmi, Riyashat
Mirza, Noreen
Miller, Richard
Correia, Joaquim
Diabetic Ketoacidosis-Induced Cardiomyopathy and Reversible Dialysis-Dependent Renal Failure With Successful Outcome: A Report of a Rare Case
title Diabetic Ketoacidosis-Induced Cardiomyopathy and Reversible Dialysis-Dependent Renal Failure With Successful Outcome: A Report of a Rare Case
title_full Diabetic Ketoacidosis-Induced Cardiomyopathy and Reversible Dialysis-Dependent Renal Failure With Successful Outcome: A Report of a Rare Case
title_fullStr Diabetic Ketoacidosis-Induced Cardiomyopathy and Reversible Dialysis-Dependent Renal Failure With Successful Outcome: A Report of a Rare Case
title_full_unstemmed Diabetic Ketoacidosis-Induced Cardiomyopathy and Reversible Dialysis-Dependent Renal Failure With Successful Outcome: A Report of a Rare Case
title_short Diabetic Ketoacidosis-Induced Cardiomyopathy and Reversible Dialysis-Dependent Renal Failure With Successful Outcome: A Report of a Rare Case
title_sort diabetic ketoacidosis-induced cardiomyopathy and reversible dialysis-dependent renal failure with successful outcome: a report of a rare case
topic Cardiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9770522/
https://www.ncbi.nlm.nih.gov/pubmed/36569685
http://dx.doi.org/10.7759/cureus.31711
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