Severe Myopericarditis in Diabetic Ketoacidosis—All Troponin are Not Myocardial Infarction
| Autor: | Rohini Kalisetti, Mohammed H Zaman, Adeniyi Ajenifuja, Robert Adrah, Blessey Joseph, Anthony A Odubanjo |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Acute coronary syndrome Diabetic ketoacidosis Case Report 030209 endocrinology & metabolism 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Internal medicine Diabetes mellitus Medicine Clinical significance Myocardial infarction Myopericarditis lcsh:R5-920 cardiac bio-markers biology medicine.diagnostic_test business.industry General Medicine medicine.disease Troponin diabetic keotacidosis biology.protein Cardiology business lcsh:Medicine (General) Electrocardiography |
| Zdroj: | Clinical Medicine Insights: Case Reports, Vol 11 (2018) Clinical Medicine Insights. Case Reports |
| ISSN: | 1179-5476 |
| Popis: | Uncontrolled diabetes and acute coronary syndrome share a complex dynamic that results in significant ambiguity when interpreting biomarker elevations in this setting. This is concerning because myocardial infarction has been shown to be the most common cause of death in the first 24 hours of admission for uncontrolled diabetes. Literature shows that elevation in cardiac biomarkers in patients with uncontrolled diabetes could be from viral myopericarditis, although a clear clinical significance is still lacking.1 It is, however, clear that elevation in cardiac biomarkers portends a poor long-term prognosis in patients with uncontrolled diabetes mellitus. We present a rare case of myopericarditis in a middle-aged patient with uncontrolled diabetes. The patient had elevated troponin I level reaching a peak of 7.3 ng/mL with associated ST elevations on electrocardiography. Coronary angiogram was subsequently done revealing clean coronaries. To our knowledge, this is the first description of myopericarditis in uncontrolled diabetes without a known cause. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|