Pseudomyocardial Infarction in Diabetic Ketoacidosis: A Clinical and Diagnostic Dilemma

Diabetes mellitus (DM) is a risk factor for the development of atherosclerotic coronary artery disease (CAD). Even though DM and CAD commonly occur together, acute cardiac events (CEs) are not often associated. In fact, acute myocardial infarction (MI) is associated with about 1% of diabetic ketoacidosis (DKA) episodes.(1) Nevertheless, prompt identification of a concurrent CE is essential to ensure correct diagnosis and appropriate and timely treatment.