Markedly Elevated Troponin in Diabetic Ketoacidosis without Acute Coronary Syndrome

GEREDE ULUDAĞ D. M., KOZLUCA V., ESENBOĞA K., Aydogan B. I., TUTAR D. E.

TURKISH JOURNAL OF ENDOCRINOLOGY AND METABOLISM, cilt.20, sa.2, ss.58-60, 2016 (ESCI) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 20 Sayı: 2
  • Basım Tarihi: 2016
  • Doi Numarası: 10.4274/tjem.2997
  • Dergi Adı: TURKISH JOURNAL OF ENDOCRINOLOGY AND METABOLISM
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.58-60
  • Anahtar Kelimeler: Diabetic ketoacidosis, troponin, acute coronary syndrome, diabetes mellitus
  • Ankara Üniversitesi Adresli: Evet

Özet

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.