Hypoglycaemic episodes may trigger silent myocardial infarction in patients with underlying ischaemic heart disease, warranting routine ECG evaluation.
May link hypoglycaemic coma to silent MI; hypothesis-generating case report that should not yet change practice.
A case of silent myocardial infarction associated with hypoglycaemic coma is described. A hypoglycaemic episode represents a risk factor for a patient with underlying ischaemic heart disease. A routine ECG may be indicated in such circumstances.
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Saunders et al. (1996) studied this question.
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