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Published on: April 1, 2015
Recurrent coronary artery thrombus formation in the setting of diabetic ketoacidosis
Aditya M Sharma1, James Wilks, Herbert D Aronow
1Michigan Heart, P.C., 5325 Elliott Dr., Ste. #202, Ypsilanti, MI 48197, USA.
Abstract:
A 34-year-old male with insulin-dependent type II diabetes mellitus developed recurrent ST-elevation myocardial infarction in the setting of diabetic ketoacidosis. In both circumstances, coronary angiography revealed a large thrombus without angiographically evident coronary atherosclerosis. To our knowledge, this is the first report of diabetic ketoacidosis associated with coronary thrombosis in the absence of underlying atherosclerotic disease, inherited hypercoagulable disorders or previous personal or family history of thromboembolism.
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