Key result
Treatment of diabetic ketoacidosis with intravenous fluids and insulin completely resolved the pseudoinfarction pattern of ST-segment elevation on EKG.
Case Report (n=1)
No
Diabetic ketoacidosis with hyperkalemia can present with a pseudoinfarction pattern on EKG and elevated troponin, which resolves with metabolic correction, highlighting the need to differentiate it from true myocardial infarction to avoid unnecessary interventions.
May avoid unnecessary catheterization in DKA pseudoinfarction; hypothesis-generating case leaves generalizability open.
Diabetic ketoacidosis (DKA) is regularly associated with hyperkalemia that results in well-described changes on the electrocardiogram (EKG). However, ST-segment elevations on EKG mimicking acute myocardial infarction have rarely been described in the setting of DKA. Here we present a case of a 43-year-old male with DKA who had pseudoinfarction pattern of ST-segment elevation on EKG that resolved with treatment of DKA and discuss the diagnostic and therapeutic dilemma around the condition.
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Sharma et al. (2018) conducted a case report in Diabetic ketoacidosis with pseudoinfarction pattern (n=1). Diabetic ketoacidosis treatment (intravenous fluids and insulin) was evaluated on Resolution of EKG changes. Treatment of diabetic ketoacidosis with intravenous fluids and insulin completely resolved the pseudoinfarction pattern of ST-segment elevation on EKG.
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