Abstract
Introduction: Diabetic Ketoacidosis can mimic electrocardiogram (EKG) changes of myocardial ischemia or infarction. The EKG changes of myocardial ischemia or infarction usually disappear after resolution of metabolic and electrolyte changes of DKA. We present a case in which a timely arterial blood gas analysis (ABG) prevented an unnecessary cardiac catheterization.
Highlights
Diabetic Ketoacidosis can mimic electrocardiogram (EKG) changes of myocardial ischemia or infarction
Diabetic Ketoacidosis (DKA) is a serious complication of diabetes mellitus, characterized by ketoacidosis and hyperglycemia leading to serious complications [1]
The EKG changes of myocardial ischemia or infarction usually disappear within 24 hours after resolution of metabolic and electrolyte changes of diabetic ketoacidosis (DKA)
Summary
Diabetic Ketoacidosis (DKA) is a serious complication of diabetes mellitus, characterized by ketoacidosis and hyperglycemia leading to serious complications [1]. Other pertinent labs included blood glucose of 600 mg/ dL, anion gap of 45 meq/L (normal 7-17 meq/L), betahydroxybutyrate of 34.7 mg/dL (normal
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