Quintero-Aguirre E, Galicia-Martínez MÁ, Piña-García LE, López-Rodríguez I

Language: Spanish
References: 23
Page: 67-71
PDF size: 360.99 Kb.

ABSTRACT

Introduction: ST-segment electrocardiographic changes in patients with diabetic ketoacidosis (DKA) have, to date, only been described in the adult population. Case presentation: a 13-year-old female patient with obesity experienced her first episode of DKA, classified as severe (pH 6.89, HCO₃ 3.6 mEq/L, blood glucose 510 mg/dL), and presented with marked hypokalemia (1.70 mEq/L). Electrocardiogram (ECG) findings included sinus tachycardia, a peaked T wave, and ST-segment elevation in leads II to VI, without clinical signs of ischemic coronary syndrome. Conclusions: this case appears to be the first report of a pediatric patient with DKA presenting ECG changes suggestive of acute myocardial infarction. In the future, we hope that the presentation of this case will serve to improve the care of similar patients.

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