Why the study?
Should diabetic patients with hypoglycemic coma undergo routine ECG to detect silent myocardial infarction?
Should diabetic patients with hypoglycemic coma undergo routine ECG to detect silent myocardial infarction?
Highlights the importance of routine ECG screening for silent myocardial infarction in diabetic patients presenting with hypoglycemic coma.
Hypothesis-generating only; should not change practice or prompt routine ECG without prospective data.
Hypoglycemia is a common complication of treatment of diabetes mellitus. The potential neurological complications of hypoglycemia as seizures and coma are well-recognized entities. A hypoglycemic episode is a risk factor for a patient with diabetes to have cardiovascular complications. Myocardial ischemia and infarction are known to occur in the setting of hypoglycemia. In view of the potential association of the two, the diabetic patients should undergo a routine ECG in such circumstances.
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Mahajan et al. (2011) studied this question.
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