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

Yıl 2012, Cilt: 3 Sayı: 1, 18 - 20, 01.01.2012

Evrim Çakır Mustafa Özbek Nujen Çolak Erman Çakal Tuncay Delibaşı

Öz

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.

Anahtar Kelimeler

Diabetic ketoacidosis, ECG abnormalities, hypokalemia

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

Öz

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

Anahtar Kelimeler

Diabetic ketoacidosis, ECG abnormalities, hypokalemia

Kaynakça

• Rosenbloom AL. Hyperglycemic crises and their complications in children. J Pediatr Endocrinol Metab. 2007; 20: 5-18. [CrossRef]
• Matrafi JA, Vethamuthu J, Feber J. Severe acute renal failure in a patient with diabetic ketoacido-sis. Saudi J Kidney Dis Transpl. 2009; 20: 831-4.
• Kamarzaman Z, Turner C, Clark F. How low can you go: a case presentation on a patient with dia-betic ketoacidosis. Resuscita- tion. 2009; 80: 967-8. [CrossRef]
• Lim YH, Anantharaman V. Pseudo myocardial infarct--electrocar- diographic pattern in a patient with diabetic ketoacidosis. Singa- pore Med J. 1998; 39: 504-6.
• Liao WB, Liu CF, Chiang CW, Kung CT, Lee CW. Cardiovascular manifestations of pheochromocy-toma. Am J Emerg Med. 2000; 18: 622-5. [CrossRef]
• Noordally O, Mircev D, Luabeya MK. Cerebral arteriovenous malformation mimicking acute coro-nary syndrome. Acta Neurol Belg. 2002; 102: 36-8.
• Yuce M, Davutoğlu V, Alptekin M, Yavuz F, Alıcı MH, Yıldırım C. Akut koroner sendromu taklit eden subaraknoid kanama vakası. AKATOS. 2010; 1: 31-3.