Stress cardiomyopathy - a unique presentation of diabetic ketoacidosis.

Publication/Presentation Date

5-1-2009

Abstract

We have documented a unique instance of diabetic ketoacidosis (DKA)-induced stress-related cardiomyopathy (CMP) in a 46-yr-old Caucasian female with type I diabetes mellitus. In times of stress, tissues with high capacity for aerobic metabolism, like myocardium, can preferentially change their metabolic substrate to ketones. The myocyte has a decreased ability to metabolize glucose and free fatty acids in stress CMP. To the best of our knowledge this is the first report of stress CMP complicating DKA. A possible mechanism for the same is hypothesized.

Volume

46

Issue

Pt 3

First Page

257

Last Page

260

ISSN

0004-5632

Disciplines

Medicine and Health Sciences

PubMedID

19307252

Department(s)

Department of Medicine

Document Type

Article

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