AI Article Synopsis
- A 78-year-old man experienced shortness of breath, metabolic acidosis, severe hyperglycemia, and ketonemia, with inferior ST-elevation noted on ECG but normal coronary arteries during cardiac catheterization.
- Following the emergency evaluation, he was diagnosed with diabetic ketoacidosis (DKA), despite not having a prior history of diabetes, likely triggered by acute pancreatitis due to chronic heavy alcohol use.
- This case is notable as it represents a rare instance of acute pancreatitis presenting as secondary DKA, which can mimic symptoms of a heart attack (STEMI) in an emergency setting.
Article Abstract
A 78-year-old male presented with shortness of breath, metabolic acidosis, severe hyperglycaemia and ketonemia. Inferior ST-elevation was present on 12-lead ECG with raised troponin I, but coronary arteries were normal on emergency cardiac catheterization. Despite no previous history of diabetes mellitus and normal HbA1c levels 7 months prior, diabetic ketoacidosis (DKA) was diagnosed, complicated by subsequent shock. The underlying cause was acute pancreatic disease, supported by elevated pancreatic enzyme levels and a history of chronic heavy alcohol use. There are no previous reports, to our knowledge, of patients with acute pancreatitis presenting to the ED with secondary DKA mimicking STEMI.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7673775 | PMC |
| http://dx.doi.org/10.1097/XCE.0000000000000205 | DOI Listing |
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