DRJ Case 2: Difference between revisions

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'''This case was kindly provided by Martijn Meuwissen, MD, PhD.'''  
'''This case was kindly provided by Martijn Meuwissen, MD, PhD.'''  
[[File:DRJ_case_2_1.png|thumb|admission ECG]]
[[File:DRJ_case_2_1.png|thumb|admission ECG|400px]]


*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.
*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.
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His admission ECG is shown on the right.
His admission ECG is shown on the right.
The patient was referred for immediate coronary angiography.
[[File:DRJ_case_2_2.jpg|thumb|Right coronary artery|left]]
[[File:DRJ_case_2_3.jpg|thumb|Left coronary artery|none]]
{{clr}}
No coronary lesions were present. Subsequent ECG after correction of electrolytes is shown below.
[[File:DRJ_case_2_4.png|thumb|Follow-up ECG|400px]]