Hypoglycemia can cause reversible myocardial stunning and cardiogenic shock in patients with ischemic cardiomyopathy, which resolves with glucose correction.
Hypoglycemia may cause reversible cardiogenic shock; hypothesis-generating case report that should not yet change practice.
Hypoglycemia is a common complication seen in patients with diabetes mellitus and has been proven to have adverse effects on cardiovascular mortality. Hypoglycemia can potentially lead to worsening of cardiac function in patients with ischemic heart disease. We present a case of cardiogenic shock in a patient with hypoglycemia secondary to insulin accumulation due to worsening renal function with dramatic recovery of shock once his sugars normalized.
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Maqsood et al. (2013) studied this question.
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