title: Recurrent coronary artery thrombus formation in the setting of diabetic ketoacidosis.
abstract: A 34-year-old male with insulin-dependent type II diabetes mellitus developed recurrent ST-elevation myocardial infarction in the setting of diabetic ketoacidosis. In both circumstances, coronary angiography revealed a large thrombus without angiographically evident coronary atherosclerosis. To our knowledge, this is the first report of diabetic ketoacidosis associated with coronary thrombosis in the absence of underlying atherosclerotic disease, inherited hypercoagulable disorders or previous personal or family history of thromboembolism.
authors.affiliation: Michigan Heart, P.C., 5325 Elliott Dr., Ste. #202, Ypsilanti, MI 48197, USA.
authors.forename: Aditya M
authors.initials: AM
authors.lastname: Sharma
authors.forename: James
authors.initials: J
authors.lastname: Wilks
authors.forename: Herbert D
authors.initials: HD
authors.lastname: Aronow
mesh_terms: D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D016883:Diabetic Ketoacidosis / Q000150:complications*; D004562:Electrocardiography; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology / Q000503:physiopathology; D055502:Secondary Prevention; D017131:Thrombectomy; D016896:Treatment Outcome
chemical_list: D000925:Anticoagulants