Severe Myopericarditis in Diabetic Ketoacidosis—All Troponin are Not Myocardial Infarction

Autor: Anthony A Odubanjo, Rohini Kalisetti, Robert Adrah, Adeniyi Ajenifuja, Blessey Joseph, Mohammed Zaman
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Clinical Medicine Insights: Case Reports, Vol 11 (2018)
Druh dokumentu: article
ISSN: 1179-5476
11795476
DOI: 10.1177/1179547618763356
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: Directory of Open Access Journals
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