DRJ Case 2

This case was kindly provided by Martijn Meuwissen, MD, PhD.

admission ECG

Right coronary artery

Left coronary artery

Follow-up ECG

• A 58 year old man was admitted to the hospital with diabetic ketoacidosis. He had no previous cardiovascular history. He had been vomiting for 6 hours. On exam he was dehydrated and had a ketotic smell.
• Blood tests: pH of 7.2, Sodium 129 mmol/L and potassium 6.9 mmmol/L, glucose 45 mmol/L

His admission ECG is shown on the right.

The patient was referred for immediate coronary angiography.