[Transitory ECG changes of an ischemic type during hyperosmolar non-ketoacidotic coma]. / Transitorie alterazioni elettrocardiografiche di tipo ischemico in corso di coma iperosmolare non chetoacidotico.
G Ital Cardiol
; 12(11): 831-2, 1982.
Article
em It
| MEDLINE
| ID: mdl-7182221
ABSTRACT
Hyperosmolar coma was the presenting feature of type I diabetes in a 20 year old man. Ischemic ECG abnormalities (downsloping ST depression of 5 mm in the anterior leads) were present during the comatose state but not in the following days, when a satisfactory metabolic control was achieved. Coronary heart disease was excluded on the basis of the normal response to a treadmill test carried out 6 months later. Hyperglycemia, hypokalemia, shock, hyperventilation and perhaps hyperosmolarity are responsible for these ECG changes. Caution must be used before considering such ECG patterns as ischemic in patients with this type of coma.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações do Diabetes
/
Coma Diabético
/
Eletrocardiografia
/
Coma Hiperglicêmico Hiperosmolar não Cetótico
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Limite:
Adult
/
Humans
/
Male
Idioma:
It
Revista:
G Ital Cardiol
Ano de publicação:
1982
Tipo de documento:
Article