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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[[File:DRJ_case_2_2.jpg|thumb|Right coronary artery|left]]
[[File:DRJ_case_2_2.jpg|thumb|Right coronary artery|left]]
[[File:DRJ_case_2_3.jpg|thumb|Left coronary artery|none]]
[[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.
No coronary lesions were present. Subsequent ECG after correction of electrolytes is shown below.
[[File:DRJ_case_2_4.png|thumb|Follow-up ECG]]
[[File:DRJ_case_2_4.png|thumb|Follow-up ECG|400px]]

Latest revision as of 03:45, 16 April 2010

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