Anterior myocardial pseudoinfarction in a patient with diabetic ketoacidosis

作     者：Jose Ruiz-Morales Catarina Canha Farah Al-Saffar Saif Ibrahim 

作者机构：Internal medicine department University of Florida Jacksonville FL USA Cardiology Department Mayo Clinic Scottsdale AZ USA Cardiology Department University of Florida Jacksonville FL USA 

出 版 物：《Journal of Geriatric Cardiology》 (老年心脏病学杂志（英文版）)

年 卷 期：2018年第15卷第3期

页      面：238-240页

核心收录：

学科分类：0710[理学-生物学] 0832[工学-食品科学与工程（可授工学、农学学位）] 07[理学] 08[工学] 083202[工学-粮食、油脂及植物蛋白工程] 071003[理学-生理学] 

主　　题：Anterior STEMI DKA Heart attack Pseudoinfarction STEMI 

摘      要：Diabetic ketoacidosis remains one of the most serious complications of diabetes mellitus. Among its precipitating factors is myocardial ischemia, responsible for 1% of the cases of diabetic *** Diabetic ketoacidosis both with and without hyperkalemia has been reported to mimic a myocardial infarction pattem on ECG with ST segment elevation, described as pseudoinfarction pattern. Thus, it is important to raise awareness among physicians, as subjecting patients to invasive medical management can be avoided. We present a case of a 47-year-old female with diabetic ketoacidosis and hyperkalemia with initial ECG findings of ST segment elevation, but an urgent left heart catheterization revealed non-obstructive coronary disease.