Myokardienekrose med sen forekomst af ventrikulaer takyarytmi sekundaert til diabetisk ketoacidose
Sammanfattning
We present a case of a 27-year-old woman with diabetic ketoacidosis, who developed myocardial necrosis with raised troponin T, CKMB, universal ST-segment elevations and ventricular tachyarrythmia 27 hours after admission. At that time the initial electrolyte disturbances and ketoacidosis had been resolved. Coronary angiography was normal, but echocardiography showed impaired left ventricle function, with an ejection fraction of 45%. At the three-month follow-up echocardiography was normal. The mechanism of myocardial necrosis secondary to metabolic derangements remains unknown.