Hyperosmolar hyperglycaemic nonketotic coma associated with acute myocardial infarction: report of three cases.
Diabetes mellitus is one of the most commonly associated diseases of patients suffering an acute myocardial infarction. Although the coexistence of acute myocardial infarction with other clinical manifestations of diabetes have been well described, extremely few data exists about the concomitant occurrence of hyperosmolar hyperglycaemic nonketotic coma and myocardial infarctions. This article presents three patients with this association and aimed to discuss the clinical course and treatment strategies of this rare condition.
Yildiz
Mustafa
M
Trakya University, School of Medicine, Cardiology Department, Edirne, Turkey.
Gül
Cetin
C
Ozbay
Gültaç
G
D000368:Aged; D001786:Blood Glucose / Q000032:analysis; D003925:Diabetic Angiopathies / Q000150:complications* / Q000188:drug therapy; D004359:Drug Therapy, Combination; D004562:Electrocardiography; D017809:Fatal Outcome; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D006944:Hyperglycemic Hyperosmolar Nonketotic Coma / Q000150:complications* / Q000188:drug therapy; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007328:Insulin / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000188:drug therapy
D001786:Blood Glucose; D005343:Fibrinolytic Agents; D007004:Hypoglycemic Agents; D007328:Insulin; D006493:Heparin