A Case of Pseudoinfarction Pattern in Diabetic Ketoacidosis: A Diagnostic and Therapeutic Dilemma

Eliza Sharma, Suyash Dahal, Pratibha Sharma, Dipesh KC Ghimire, Sumit Dahal

Abstract


Diabetic ketoacidosis (DKA) is regularly associated with hyperkalemia that results in well-described changes on the electrocardiogram (EKG). However, ST-segment elevations on EKG mimicking acute myocardial infarction have rarely been described in the setting of DKA. Here we present a case of a 43-year-old male with DKA who had pseudoinfarction pattern of ST-segment elevation on EKG that resolved with treatment of DKA and discuss the diagnostic and therapeutic dilemma around the condition.




Cardiol Res. 2018;9(4):250-252
doi: https://doi.org/10.14740/cr747w

Keywords


Diabetic ketoacidosis; Pseudoinfarction; Electrocardiogram

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