DRJ Case 2

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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.