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一例接受钠-葡萄糖协同转运蛋白2抑制剂治疗的患者发生ST段抬高型心肌梗死诱发的正常血糖性糖尿病酮症酸中毒

A Case of STEMI-Induced Euglycemic Diabetic Ketoacidosis in a Patient Receiving a Sodium Glucose Cotransporter-2 Inhibitor.

作者信息

Zughaib Marc, Basharat Bismah, Small Delano

机构信息

Department of Internal Medicine, Ascension Providence Hospital, Southfield, Michigan, USA.

Department of Cardiovascular Disease, Ascension Providence Hospital, Southfield, Michigan, USA.

出版信息

JACC Case Rep. 2023 Feb 18;11:101792. doi: 10.1016/j.jaccas.2023.101792. eCollection 2023 Apr 5.

DOI:10.1016/j.jaccas.2023.101792
PMID:37077449
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10107034/
Abstract

A 54-year-old female on sodium glucose cotransporter-2 inhibitor presented with ST-segment elevation myocardial infarction, nausea, and vomiting. Percutaneous intervention was performed to the right coronary artery. The chest pain resolved, but she continued to experience nausea and vomiting. Euglycemic diabetic ketoacidosis was diagnosed secondary to the ST-segment elevation myocardial infarction. After treatment for euglycemic diabetic ketoacidosis, her nausea and vomiting had resolved. ().

摘要

一名54岁使用钠-葡萄糖协同转运蛋白2抑制剂的女性出现ST段抬高型心肌梗死、恶心和呕吐。对右冠状动脉进行了经皮介入治疗。胸痛缓解,但她仍持续感到恶心和呕吐。诊断为继发于ST段抬高型心肌梗死的正常血糖性糖尿病酮症酸中毒。经过正常血糖性糖尿病酮症酸中毒治疗后,她的恶心和呕吐症状消失。()

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e89/10107034/7ff70d984f26/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e89/10107034/7ff70d984f26/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e89/10107034/7ff70d984f26/fx1.jpg

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ST-Segment Elevation in the Setting of Diabetic Ketoacidosis: Is It Acute Coronary Syndrome?糖尿病酮症酸中毒情况下的ST段抬高:是急性冠状动脉综合征吗?
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