Markedly Elevated Troponin in Diabetic Ketoacidosis without Acute Coronary Syndrome
TURKISH JOURNAL OF ENDOCRINOLOGY AND METABOLISM, vol.20, no.2, pp.58-60, 2016 (ESCI, Scopus, TRDizin)
- Publication Type: Article / Article
- Volume: 20 Issue: 2
- Publication Date: 2016
- Doi Number: 10.4274/tjem.2997
- Journal Name: TURKISH JOURNAL OF ENDOCRINOLOGY AND METABOLISM
- Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
- Page Numbers: pp.58-60
- Keywords: Diabetic ketoacidosis, troponin, acute coronary syndrome, diabetes mellitus
- Ankara University Affiliated: Yes
Abstract
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.