Key result
Severe DKA rarely presents with stress cardiomyopathy in pediatric patients.
Why the study?
There are few reports describing cardiac complications in children admitted with diabetic ketoacidosis.
Case Report (n=1)
Stress cardiomyopathy is a rare but possible complication of severe diabetic ketoacidosis in pediatric patients, requiring physician vigilance.
Answers are grounded in this paper and cite their sources.
Clinicians should consider stress cardiomyopathy in pediatric DKA with chest pain; this case report leaves the association hypothesis-generating pending prospective data.
There are few reports describing cardiac complications in children admitted with diabetic ketoacidosis (DKA) in the published literature. We report on a 13-year-old boy who presented with severe DKA and developed chest pain, with elevated cardiac enzymes and ST-segment changes on ECG on the third day of hospitalization. Cardiac MRI suggested stress cardiomyopathy. The patient was discharged home after complete uneventful recovery and on follow-up remains asymptomatic with normal echocardiogram results and cardiac enzyme levels. Although rare, stress cardiomyopathy may occur with severe DKA, and it is important that physicians remain vigilant in this regard.
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Japitana et al. (2013) conducted a case report in Diabetic ketoacidosis and stress cardiomyopathy (n=1). Severe diabetic ketoacidosis was evaluated on Stress cardiomyopathy. Severe diabetic ketoacidosis can rarely be complicated by stress cardiomyopathy, as seen in a 13-year-old boy who presented with chest pain and elevated cardiac enzymes.
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