DRJ Case 2

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

admission 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.

Right coronary artery
Left coronary artery

No coronary lesions were present. Subsequent ECG after correction of electrolytes is shown below.

Follow-up ECG