Diabetic ketoacidosis complicated by supraventricular tachycardia in a young adult: a case report
Diabetic ketoacidosis (DKA) is one of the most common serious metabolic complications of diabetes in adolescents and young adults. Complications are due to metabolic acidosis, electrolyte abnormalities, acute renal failure and respiratory distress. Serum electrolyte abnormalities are common in DKA....
| Autores: | , , , |
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| Formato: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2018 |
| País: | México |
| Recursos: | Instituto Mexicano del Seguro Social |
| Repositorio: | Redalyc-IMSS |
| OAI Identifier: | oai:redalyc.org:372960175006 |
| Acesso em linha: | https://www.redalyc.org/articulo.oa?id=372960175006 https://www.redalyc.org/journal/3729/372960175006/ https://www.redalyc.org/journal/3729/372960175006/html/ https://www.redalyc.org/journal/3729/372960175006/372960175006.epub https://www.redalyc.org/journal/3729/372960175006/movil |
| Access Level: | acceso abierto |
| Palavra-chave: | Medicina Diabetic ketoacidosis cardiovascular alterations supraventricular tachycardia |
| Resumo: | Diabetic ketoacidosis (DKA) is one of the most common serious metabolic complications of diabetes in adolescents and young adults. Complications are due to metabolic acidosis, electrolyte abnormalities, acute renal failure and respiratory distress. Serum electrolyte abnormalities are common in DKA. Such serum electrolyte alterations, including acidosis, have been associated with the development of cardiac arrhythmias. We report the case of a 29yearold man whose parents have diabetes mellitus. His illness began six months earlier with a weight loss of 15 kg. He did not seek for medical attention. The patient presented in a family medical unit with drowsiness and dehydration. On examination, his blood pressure was 90/60 mmHg, pulse rate 216 beats/minute, respiratory rate 32 cycles/minute, and temperature 36.5°C. His random blood glucose was 458 mg/dL with ketonuria. His electrocardiogram showed supraventricular tachycardia. He was referred to a second level hospital where he was admitted into the Intensive Care Unit (ICU) after three hours of stabilization. The patient was discharged in good condition 11 days after his admission to the hospital and was to continue treatment with glargine insulin (1 UI/kg) at home. He was also advised on healthy nutrition, blood glucose target of 150 mg/dL and followup in the Outpatient Department of Cardiology and Internal Medicine. |
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