[Myocardial necrosis with late occurrence of ventricular tachyarrythmia secondary to diabetic ketoacidosis].
We present a case of a 27-year-old woman with diabetic ketoacidosis, who developed myocardial necrosis with raised troponin T, CKMB, universal ST-segment elevations and ventricular tachyarrythmia 27 hours after admission. At that time the initial electrolyte disturbances and ketoacidosis had been resolved. Coronary angiography was normal, but echocardiography showed impaired left ventricle function, with an ejection fraction of 45%. At the three-month follow-up echocardiography was normal. The mechanism of myocardial necrosis secondary to metabolic derangements remains unknown.
Paulsen
Søren Kildeberg
SK
Arhus Sygehus, Medicinsk-endokrinologisk Afdeling C, Arhus. skpaulsen@dadlnet.dk
Poulsen
Steen Hvitfeldt
SH
Thuesen
Leif
L
Bak
Jens Friis
JF
D000328:Adult; D017023:Coronary Angiography; D016883:Diabetic Ketoacidosis / Q000150:complications*; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D009203:Myocardial Infarction / Q000209:etiology*; D009206:Myocardium / Q000473:pathology*; D009336:Necrosis; D017180:Tachycardia, Ventricular / Q000209:etiology*