A 78-year-old male with inferior ST-segment elevation on electrocardiogram, diabetic ketoacidosis and acute pancreatitis

A 78-year-old male with inferior ST-segment elevation on electrocardiogram, diabetic ketoacidosis and acute pancreatitis

A 78-year-old male presented with shortness of breath, metabolic acidosis, severe hyperglycaemia and ketonemia. Inferior ST-elevation was present on 12-lead ECG with raised troponin I, but coronary arteries were normal on emergency cardiac catheterization. Despite no previous history of diabetes mel...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Cardiovascular endocrinology & metabolism 2020-12, Vol.9 (4), p.186-188
Hauptverfasser: Ho, Jamie S.Y., Mui, Bryan, Sia, Ching-Hui, Djohan, Andie H., Mok, Shao-Feng, Chan, Mark Y., Ambhore, Anand A.
Format: Artikel
Sprache:eng
Schlagworte:
Case Report
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 188
container_issue 4
container_start_page 186
container_title Cardiovascular endocrinology & metabolism
container_volume 9
creator Ho, Jamie S.Y.
Mui, Bryan
Sia, Ching-Hui
Djohan, Andie H.
Mok, Shao-Feng
Chan, Mark Y.
Ambhore, Anand A.
description A 78-year-old male presented with shortness of breath, metabolic acidosis, severe hyperglycaemia and ketonemia. Inferior ST-elevation was present on 12-lead ECG with raised troponin I, but coronary arteries were normal on emergency cardiac catheterization. Despite no previous history of diabetes mellitus and normal HbA1c levels 7 months prior, diabetic ketoacidosis (DKA) was diagnosed, complicated by subsequent shock. The underlying cause was acute pancreatic disease, supported by elevated pancreatic enzyme levels and a history of chronic heavy alcohol use. There are no previous reports, to our knowledge, of patients with acute pancreatitis presenting to the ED with secondary DKA mimicking STEMI.
doi_str_mv 10.1097/XCE.0000000000000205
format Article
fullrecord <record><control><sourceid>wolterskluwer_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7673775</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>02045117-202012000-00010</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3970-b9d1ca2471fc5aa6084807978adf2f808f6143a9904ea22bba17293b1b5aea7f3</originalsourceid><addsrcrecordid>eNpdUV1LHTEQDcWiov6DPuQHNJrPm92Xgly0FgQfVOhbmM3O3pu6u7kkuV79901rqR_DDDPDnHNgOIR8EfxU8Nae_VxenPK3Ibn5RA6lsZrx1ui9N_MBOcn5118Ml9rYfXKglJRGqsUheTqntmHPCInFsacTjEh3oaxpmAdMISZ6e8cyriacC8URH6GEONOadfElRQ-pD3GVYPpK-wAdluDpA5YIPvQxh0xh7in4bUG6gdknrAol5GPyeYAx48m_fkTuLy_ullfs-ub7j-X5NfOqtZx1bS88SG3F4A3Agje64ba1DfSDHBreDAuhFbQt1whSdh0IK1vVic4Agh3UEfn2orvZdhP2vv6RYHSbFCZIzy5CcO8vc1i7VXx0dmGVtaYK6BcBn2LOCYf_XMHdHzNcNcN9NOOVtotjwZQfxu0Ok1sjjGXtKkQbISyTdRLVGM5qCa5-A-2sjUw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>A 78-year-old male with inferior ST-segment elevation on electrocardiogram, diabetic ketoacidosis and acute pancreatitis</title><source>DOAJ Directory of Open Access Journals</source><source>PubMed Central</source><creator>Ho, Jamie S.Y. ; Mui, Bryan ; Sia, Ching-Hui ; Djohan, Andie H. ; Mok, Shao-Feng ; Chan, Mark Y. ; Ambhore, Anand A.</creator><creatorcontrib>Ho, Jamie S.Y. ; Mui, Bryan ; Sia, Ching-Hui ; Djohan, Andie H. ; Mok, Shao-Feng ; Chan, Mark Y. ; Ambhore, Anand A.</creatorcontrib><description>A 78-year-old male presented with shortness of breath, metabolic acidosis, severe hyperglycaemia and ketonemia. Inferior ST-elevation was present on 12-lead ECG with raised troponin I, but coronary arteries were normal on emergency cardiac catheterization. Despite no previous history of diabetes mellitus and normal HbA1c levels 7 months prior, diabetic ketoacidosis (DKA) was diagnosed, complicated by subsequent shock. The underlying cause was acute pancreatic disease, supported by elevated pancreatic enzyme levels and a history of chronic heavy alcohol use. There are no previous reports, to our knowledge, of patients with acute pancreatitis presenting to the ED with secondary DKA mimicking STEMI.</description><identifier>ISSN: 2574-0954</identifier><identifier>EISSN: 2574-0954</identifier><identifier>DOI: 10.1097/XCE.0000000000000205</identifier><identifier>PMID: 33225236</identifier><language>eng</language><publisher>Wolters Kluwer Health, Inc. All rights reserved</publisher><subject>Case Report</subject><ispartof>Cardiovascular endocrinology &amp; metabolism, 2020-12, Vol.9 (4), p.186-188</ispartof><rights>Wolters Kluwer Health, Inc. All rights reserved.</rights><rights>Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3970-b9d1ca2471fc5aa6084807978adf2f808f6143a9904ea22bba17293b1b5aea7f3</citedby><cites>FETCH-LOGICAL-c3970-b9d1ca2471fc5aa6084807978adf2f808f6143a9904ea22bba17293b1b5aea7f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7673775/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7673775/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids></links><search><creatorcontrib>Ho, Jamie S.Y.</creatorcontrib><creatorcontrib>Mui, Bryan</creatorcontrib><creatorcontrib>Sia, Ching-Hui</creatorcontrib><creatorcontrib>Djohan, Andie H.</creatorcontrib><creatorcontrib>Mok, Shao-Feng</creatorcontrib><creatorcontrib>Chan, Mark Y.</creatorcontrib><creatorcontrib>Ambhore, Anand A.</creatorcontrib><title>A 78-year-old male with inferior ST-segment elevation on electrocardiogram, diabetic ketoacidosis and acute pancreatitis</title><title>Cardiovascular endocrinology &amp; metabolism</title><description>A 78-year-old male presented with shortness of breath, metabolic acidosis, severe hyperglycaemia and ketonemia. Inferior ST-elevation was present on 12-lead ECG with raised troponin I, but coronary arteries were normal on emergency cardiac catheterization. Despite no previous history of diabetes mellitus and normal HbA1c levels 7 months prior, diabetic ketoacidosis (DKA) was diagnosed, complicated by subsequent shock. The underlying cause was acute pancreatic disease, supported by elevated pancreatic enzyme levels and a history of chronic heavy alcohol use. There are no previous reports, to our knowledge, of patients with acute pancreatitis presenting to the ED with secondary DKA mimicking STEMI.</description><subject>Case Report</subject><issn>2574-0954</issn><issn>2574-0954</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNpdUV1LHTEQDcWiov6DPuQHNJrPm92Xgly0FgQfVOhbmM3O3pu6u7kkuV79901rqR_DDDPDnHNgOIR8EfxU8Nae_VxenPK3Ibn5RA6lsZrx1ui9N_MBOcn5118Ml9rYfXKglJRGqsUheTqntmHPCInFsacTjEh3oaxpmAdMISZ6e8cyriacC8URH6GEONOadfElRQ-pD3GVYPpK-wAdluDpA5YIPvQxh0xh7in4bUG6gdknrAol5GPyeYAx48m_fkTuLy_ullfs-ub7j-X5NfOqtZx1bS88SG3F4A3Agje64ba1DfSDHBreDAuhFbQt1whSdh0IK1vVic4Agh3UEfn2orvZdhP2vv6RYHSbFCZIzy5CcO8vc1i7VXx0dmGVtaYK6BcBn2LOCYf_XMHdHzNcNcN9NOOVtotjwZQfxu0Ok1sjjGXtKkQbISyTdRLVGM5qCa5-A-2sjUw</recordid><startdate>20201201</startdate><enddate>20201201</enddate><creator>Ho, Jamie S.Y.</creator><creator>Mui, Bryan</creator><creator>Sia, Ching-Hui</creator><creator>Djohan, Andie H.</creator><creator>Mok, Shao-Feng</creator><creator>Chan, Mark Y.</creator><creator>Ambhore, Anand A.</creator><general>Wolters Kluwer Health, Inc. All rights reserved</general><general>Wolters Kluwer Health</general><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope></search><sort><creationdate>20201201</creationdate><title>A 78-year-old male with inferior ST-segment elevation on electrocardiogram, diabetic ketoacidosis and acute pancreatitis</title><author>Ho, Jamie S.Y. ; Mui, Bryan ; Sia, Ching-Hui ; Djohan, Andie H. ; Mok, Shao-Feng ; Chan, Mark Y. ; Ambhore, Anand A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3970-b9d1ca2471fc5aa6084807978adf2f808f6143a9904ea22bba17293b1b5aea7f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Case Report</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ho, Jamie S.Y.</creatorcontrib><creatorcontrib>Mui, Bryan</creatorcontrib><creatorcontrib>Sia, Ching-Hui</creatorcontrib><creatorcontrib>Djohan, Andie H.</creatorcontrib><creatorcontrib>Mok, Shao-Feng</creatorcontrib><creatorcontrib>Chan, Mark Y.</creatorcontrib><creatorcontrib>Ambhore, Anand A.</creatorcontrib><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cardiovascular endocrinology &amp; metabolism</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ho, Jamie S.Y.</au><au>Mui, Bryan</au><au>Sia, Ching-Hui</au><au>Djohan, Andie H.</au><au>Mok, Shao-Feng</au><au>Chan, Mark Y.</au><au>Ambhore, Anand A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A 78-year-old male with inferior ST-segment elevation on electrocardiogram, diabetic ketoacidosis and acute pancreatitis</atitle><jtitle>Cardiovascular endocrinology &amp; metabolism</jtitle><date>2020-12-01</date><risdate>2020</risdate><volume>9</volume><issue>4</issue><spage>186</spage><epage>188</epage><pages>186-188</pages><issn>2574-0954</issn><eissn>2574-0954</eissn><abstract>A 78-year-old male presented with shortness of breath, metabolic acidosis, severe hyperglycaemia and ketonemia. Inferior ST-elevation was present on 12-lead ECG with raised troponin I, but coronary arteries were normal on emergency cardiac catheterization. Despite no previous history of diabetes mellitus and normal HbA1c levels 7 months prior, diabetic ketoacidosis (DKA) was diagnosed, complicated by subsequent shock. The underlying cause was acute pancreatic disease, supported by elevated pancreatic enzyme levels and a history of chronic heavy alcohol use. There are no previous reports, to our knowledge, of patients with acute pancreatitis presenting to the ED with secondary DKA mimicking STEMI.</abstract><pub>Wolters Kluwer Health, Inc. All rights reserved</pub><pmid>33225236</pmid><doi>10.1097/XCE.0000000000000205</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2574-0954
ispartof Cardiovascular endocrinology & metabolism, 2020-12, Vol.9 (4), p.186-188
issn 2574-0954
2574-0954
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7673775
source DOAJ Directory of Open Access Journals; PubMed Central
subjects Case Report
title A 78-year-old male with inferior ST-segment elevation on electrocardiogram, diabetic ketoacidosis and acute pancreatitis
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-05T01%3A48%3A05IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-wolterskluwer_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%2078-year-old%20male%20with%20inferior%20ST-segment%20elevation%20on%20electrocardiogram,%20diabetic%20ketoacidosis%20and%20acute%20pancreatitis&rft.jtitle=Cardiovascular%20endocrinology%20&%20metabolism&rft.au=Ho,%20Jamie%20S.Y.&rft.date=2020-12-01&rft.volume=9&rft.issue=4&rft.spage=186&rft.epage=188&rft.pages=186-188&rft.issn=2574-0954&rft.eissn=2574-0954&rft_id=info:doi/10.1097/XCE.0000000000000205&rft_dat=%3Cwolterskluwer_pubme%3E02045117-202012000-00010%3C/wolterskluwer_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_id=info:pmid/33225236&rfr_iscdi=true