Acute Myocardial Infarction and Diabetic Ketoacidosis: The Lethal Duo

Abstract

Diabetes Ketoacidosis in association with acute myocardial infarction is quite frequent but is also associated with higher morbidity and mortality. These two can trigger each other, different hypothesis have been proposed to explain this phenomenon but still it is difficult to know which one appears first. We report a referred case to our centre with acute Myocardial Infarction and diabetic ketoacidosis promptly initiated treatment of diabetic ketoacidosis along with primary PCI. Keywords: Cardiogenic shock; diabetic ketoacidosis; metabolic acidosis; myocardial Infarction

Choque cardiogénico secundario a infarto agudo al miocardio con cetoacidosis diabética grave: reporte de un caso

“…La prevalencia del choque cardiogénico varía del 6% al 15%, y se presenta sobre todo en los pacientes con complicaciones mecánicas; representa la principal causa de muerte en pacientes hospitalizados con IAM, oscilando entre el 40% y el 60%. Es importante comentar que la cetoacidosis diabética (CAD) puede presentarse en conjunto con el IAM, y para esta combinación la mortalidad ronda el 85% [8][9][10] .…”

Diabetic Ketoacidosis and Acute Coronary Syndrome Due to Neck Abscess

“…Fatty acids are incorporated into the lipid structure of the myocyte membrane with the creation of micelles, leading to the instability and rupture of this membrane when there is a high amount of free fatty acids in the blood during DKA. Additionally, a lack of insulin is linked to excessive levels of free fatty acids and ketone bodies, which prevent cells from absorbing glucose and deprive the heart of its energy source 7 . Case reports of DKA associated with neck abscess are relatively uncommon.…”