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Acute Electrocardiogram Pseudoinfarction Pattern and Re-Versible Left Ventricular Systolic Dysfunction in a Patient With Diabetic Ketoacidosis and Hyperkalemia: A Case Report Publisher



Moghtadaie A1 ; Yazdi SAM2 ; Ashraf H3, 4 ; Soleimani A5
Authors
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Authors Affiliations
  1. 1. Internal Medicine Department, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. General Surgery Department, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Research Development Center, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Cardiac Primary Prevention Research Center (CPPRC), Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Cardiology, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran

Source: Frontiers in Emergency Medicine Published:2022


Abstract

Coexisting myocardial infarction (MI) and diabetic ketoacidosis (DKA) are the most common causes of death in diabetic patients. We report a patient with ischemic heart disease manifestations who was finally diagnosed to have DKA as a predisposing factor. The case we present in this paper is a 57-year-old man who was found un-conscious in a hotel and presented with complaints of vomiting, abdominal pain, and diarrhea. He had severe dyspnea and chest pain radiating to his back. He had ST-segment elevation in anterior leads on electrocardiogram (ECG), with non-obstructive coronary artery disease in the subsequent heart catheterization. MI patients should be treated with primary percutaneous coronary intervention (PCI) or fibrinolytic agents, but pseudoin-farction due to DKA responds to medical treatment. Thus, it is also important to know that coexistence of both DKA and MI is possible, and neglecting such situations can lead to lethal consequences. © 2022 Tehran University of Medical Sciences.