Severe Myopericarditis in Diabetic Ketoacidosis—All Troponin are Not Myocardial Infarction
Uncontrolled diabetes and acute coronary syndrome share a complex dynamic that results in significant ambiguity when interpreting biomarker elevations in this setting. This is concerning because myocardial infarction has been shown to be the most common cause of death in the first 24 hours of admiss...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2018-03-01
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| Series: | Clinical Medicine Insights: Case Reports |
| Online Access: | https://doi.org/10.1177/1179547618763356 |
| _version_ | 1818454623440076800 |
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| author | Anthony A Odubanjo Rohini Kalisetti Robert Adrah Adeniyi Ajenifuja Blessey Joseph Mohammed Zaman |
| author_facet | Anthony A Odubanjo Rohini Kalisetti Robert Adrah Adeniyi Ajenifuja Blessey Joseph Mohammed Zaman |
| author_sort | Anthony A Odubanjo |
| collection | DOAJ |
| description | Uncontrolled diabetes and acute coronary syndrome share a complex dynamic that results in significant ambiguity when interpreting biomarker elevations in this setting. This is concerning because myocardial infarction has been shown to be the most common cause of death in the first 24 hours of admission for uncontrolled diabetes. Literature shows that elevation in cardiac biomarkers in patients with uncontrolled diabetes could be from viral myopericarditis, although a clear clinical significance is still lacking. 1 It is, however, clear that elevation in cardiac biomarkers portends a poor long-term prognosis in patients with uncontrolled diabetes mellitus. We present a rare case of myopericarditis in a middle-aged patient with uncontrolled diabetes. The patient had elevated troponin I level reaching a peak of 7.3 ng/mL with associated ST elevations on electrocardiography. Coronary angiogram was subsequently done revealing clean coronaries. To our knowledge, this is the first description of myopericarditis in uncontrolled diabetes without a known cause. |
| first_indexed | 2024-12-14T21:57:49Z |
| format | Article |
| id | doaj.art-67d23d283f2e4120987dc75ecb216fcf |
| institution | Directory Open Access Journal |
| issn | 1179-5476 |
| language | English |
| last_indexed | 2024-12-14T21:57:49Z |
| publishDate | 2018-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Clinical Medicine Insights: Case Reports |
| spelling | doaj.art-67d23d283f2e4120987dc75ecb216fcf2022-12-21T22:46:04ZengSAGE PublishingClinical Medicine Insights: Case Reports1179-54762018-03-011110.1177/1179547618763356Severe Myopericarditis in Diabetic Ketoacidosis—All Troponin are Not Myocardial InfarctionAnthony A OdubanjoRohini KalisettiRobert AdrahAdeniyi AjenifujaBlessey JosephMohammed ZamanUncontrolled diabetes and acute coronary syndrome share a complex dynamic that results in significant ambiguity when interpreting biomarker elevations in this setting. This is concerning because myocardial infarction has been shown to be the most common cause of death in the first 24 hours of admission for uncontrolled diabetes. Literature shows that elevation in cardiac biomarkers in patients with uncontrolled diabetes could be from viral myopericarditis, although a clear clinical significance is still lacking. 1 It is, however, clear that elevation in cardiac biomarkers portends a poor long-term prognosis in patients with uncontrolled diabetes mellitus. We present a rare case of myopericarditis in a middle-aged patient with uncontrolled diabetes. The patient had elevated troponin I level reaching a peak of 7.3 ng/mL with associated ST elevations on electrocardiography. Coronary angiogram was subsequently done revealing clean coronaries. To our knowledge, this is the first description of myopericarditis in uncontrolled diabetes without a known cause.https://doi.org/10.1177/1179547618763356 |
| spellingShingle | Anthony A Odubanjo Rohini Kalisetti Robert Adrah Adeniyi Ajenifuja Blessey Joseph Mohammed Zaman Severe Myopericarditis in Diabetic Ketoacidosis—All Troponin are Not Myocardial Infarction Clinical Medicine Insights: Case Reports |
| title | Severe Myopericarditis in Diabetic Ketoacidosis—All Troponin are Not Myocardial Infarction |
| title_full | Severe Myopericarditis in Diabetic Ketoacidosis—All Troponin are Not Myocardial Infarction |
| title_fullStr | Severe Myopericarditis in Diabetic Ketoacidosis—All Troponin are Not Myocardial Infarction |
| title_full_unstemmed | Severe Myopericarditis in Diabetic Ketoacidosis—All Troponin are Not Myocardial Infarction |
| title_short | Severe Myopericarditis in Diabetic Ketoacidosis—All Troponin are Not Myocardial Infarction |
| title_sort | severe myopericarditis in diabetic ketoacidosis all troponin are not myocardial infarction |
| url | https://doi.org/10.1177/1179547618763356 |
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