Key result
Medical management of diabetic ketoacidosis with fluid and insulin therapy resolved the transient ST-segment elevation and metabolic abnormalities within 8 hours.
Why the study?
Benign transient ECG abnormalities with normokalemia can occur in DKA secondary to metabolic changes, and understanding these varying presentations aids management.
Case Report (n=1)
No
DKA can present with benign transient ST-segment elevation despite normal serum potassium levels, mimicking acute myocardial infarction.
Background: Diabetic Ketoacidosis (DKA) is a life-threatening complication of Diabetes Mellitus Type 1 (DM1) and requires prompt management; however, benign transient electrocardiographic (ECG) abnormalities with normal serum potassium levels can be seen in diabetic patients secondary to metabolic changes. Understanding the varying presentation among patients provides valuable insight into the management of this seemingly uncommon and benign diagnosis. The Case: A 24-year-old male with a history of DM1 presented to the Emergency Department (ED) with ST-segment elevation, normal potassium levels and metabolic acidosis. The patient was found to be in DKA with benign cardiac manifestations. Conclusion: The correction of underlying metabolic abnormalities in DKA and the awareness of the benign cardiac pseudo pathology on ECG allows for effective management and personalized patient care.
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Dhir et al. (2020) conducted a case report in Diabetic Ketoacidosis with ST-segment elevation and normokalemia (n=1). Medical management of DKA (fluids, insulin, electrolytes) was evaluated on Resolution of cardiac manifestations and metabolic abnormalities. Medical management of diabetic ketoacidosis with fluid and insulin therapy resolved the transient ST-segment elevation and metabolic abnormalities within 8 hours.
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