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Updated: Nov 12, 2025

Measurement of Myocardial Lactate Production for Diagnosis of Coronary Microvascular Spasm
Published on: September 17, 2021
Coronary artery spasm in a 15-year-old male in diabetic ketoacidosis
Danielle Strah1, Michael Seckeler2, Jenny Mendelson3
1Department of Pediatrics, Banner University Medical Center- Tucson, Tucson, AZ, USA.
Abstract:
Coronary artery disease and myocardial infarction are known complications of long-standing diabetes mellitus in adults, but coronary artery spasm is far more rare and has not been reported in children. We present a 15-year-old male in diabetic ketoacidosis who developed diffuse ST segment elevations and elevated troponin with normal coronary arteries on coronary angiography and no signs of pericarditis that was due to coronary artery spasm.
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