Diyabetik Ketoasidozlu Hastada Akut Koroner Sendromu Taklit Eden EKG Değişikliği ile Seyreden Hipokalemi

Year 2012, Volume: 3 Issue: 1, 18 - 20, 01.01.2012

Evrim Çakır Mustafa Özbek Nujen Çolak Erman Çakal Tuncay Delibaşı

Abstract

Diabetic ketoacidosis is an extremely serious complication of diabetes mellitus. It arises because of a complex disturbance in glucose metabolism. There is usually a precipitating cause such as sepsis or myocardial infarction. If not recognised and appropriately treated, it can have devastating consequences. This is a case report of a patient with severe diabetic ketoacidosis and interesting electrocardiographic (ECG) findings. The initial electro-cardiographic findings were suggestive of an acute coronary syndrome. The ECG changes normalised remarkably following management of the diabetic ketoacidosis. In this presentation we wished to point out the challenges of differential diagnosis of ECG abnormalities in diabetic ketoacidosis with hypocalemia.

Keywords

Diabetic ketoacidosis, ECG abnormalities, hypokalemia

Hypokalemia with ECG Abnormalities Mimicking Acute Coronary Syndrome in a Diabetic Ketoacidotic Patient

Abstract

Diabetic ketoacidosis is an extremely serious complication of diabetes mellitus. It arises because of a complex disturbance in glucose metabolism. There is usually a precipitating cause such as sepsis or myocardial infarction. If not recognised and appropriately treated, it can have devastating consequences. This is a case report of a patient with severe diabetic ketoacidosis and interesting electrocardiographic (ECG) findings. The initial electro-cardiographic findings were suggestive of an acute coronary syndrome. The ECG changes normalised remarkably following management of the diabetic ketoacidosis. In this presentation we wished to point out the challenges of differential diagnosis of ECG abnormalities in diabetic ketoacidosis with hypocalemia

Keywords

Diabetic ketoacidosis, ECG abnormalities, hypokalemia

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