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Pol. Merkur. Lek (Pol. Med. J.), 2018, XLV/270: 248-250 Maximize

Pol. Merkur. Lek (Pol. Med. J.), 2018, XLV/270: 248-250

Title: ST-segment elevation myocardial infarction with non-obstructive coronary arteries in a patient with severe diabetic acidosis 

Authors: Mazur R, Buksińska-Lisik M, Mamcarz A. 

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SUMMARY IN POLISH & ENGLISH. FULL ARTICLE ONLY IN ENGLISH.

ST-segment elevation myocardial infarction with non-obstructive coronary arteries in a patient with severe diabetic acidosis


Mazur R1, Buksińska-Lisik M2, Mamcarz A2

1Cardiology and Internal Medicine Department, Miedzyleski Specialistic Hospital, Warsaw, Poland; 23rd Department of Internal Medicine and Cardiology, 2nd Medical Faculty, Medical University of Warsaw, Warsaw, Poland

Patients with severe diabetic acidosis may present varying electrocardiography (ECG) abnormalities including ST-segment elevation. The authors described a case of 70-year-old type 2 diabetic woman hospitalized due to ST elevation myocardial infarction and serious metabolic disorders. According to the clinical presentation, the ECG abnormalities and the significant rise in myocardial necrosis biomarkers the patient was diagnosed with myocardial infarction and received a typical pharmacological treatment. In the autopsy, no signs of myocardial infarction and no significant stenoses in the coronary arteries were found, while the features of acute upper gastrointestinal bleeding were observed. This case report demonstrates that together with the clinical presentation of metabolic disorders, ST elevation must always be interpreted very cautiously and each case require an individual proceeding.

Key words: ST-segment elevation, acute myocardial infarction, STEMI, acidosis, MINOCA

Pol Merkur Lekarski, 2018; XLV (270); 248–250