Markedly Elevated Troponin in Diabetic Ketoacidosis without Acute Coronary Syndrome
Troponin gives excellent accuracy in the identification of myocardial necrosis, however, it may elevate also in a series of non-atherosclerotic heart diseases. We report the case of a 58-year-old woman with diabetic ketoacidosis (DKA). She had markedly increased levels (90 fold) of cardiac biomarke...
Main Authors: | , , , , |
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Format: | Article |
Language: | English |
Published: |
Turkiye Klinikleri
2016-06-01
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Series: | Turkish Journal of Endocrinology and Metabolism |
Subjects: | |
Online Access: | http://www.turkjem.org/article_10710/Markedly-Elevated-Troponin-In-Diabetic-Ketoacidosis-Without-Acute-Coronary-Syndrome |
Summary: | Troponin gives excellent accuracy in the identification of myocardial necrosis, however, it may elevate also in a series of non-atherosclerotic heart diseases. We report the case of a 58-year-old woman with diabetic ketoacidosis (DKA). She had markedly increased levels (90 fold) of cardiac biomarkers (troponin I and CK-MB) and initial electrocardiography changes compatible with myocardial infarction. She had normal a coronary angiogram. This case shows that nonspecific myocardial injury may occur in DKA with the findings mimicking myocardial infarction including increased level of cardiac biomarkers and electrocardiography changes. |
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ISSN: | 1301-2193 |