A reversible cause of left ventricular dysfunction: Case report and brief review
David Roque1, Daniel Faria1, João Ferreira1
1Serviço de Cardiologia, Hospital Professor Doutor Fernando da Fonseca, EPE, Amadora, Portugal.
Revista Portuguesa De Cardiologia
|April 21, 2021
Summary
Diabetic ketoacidosis can cause temporary left ventricular systolic dysfunction, impacting the cardiovascular system. Prompt diagnosis and management are key for recovery.
Area of Science:
- Cardiology
- Endocrinology
- Internal Medicine
Background:
- Diabetic ketoacidosis (DKA) is a serious complication of diabetes.
- Cardiovascular complications are frequently associated with DKA, but direct myocardial dysfunction is less commonly recognized.
Observation:
- A patient presented with DKA, exhibiting elevated cardiac biomarkers (troponin I, natriuretic peptides) and ECG abnormalities.
- Transthoracic echocardiogram revealed severe left ventricular systolic dysfunction, initially diagnosed as profile L heart failure.
Findings:
- Despite initial severe dysfunction, left ventricular function normalized within seven days of DKA treatment.
- Etiologic investigation for other causes of heart failure was negative, strongly implicating DKA.
Implications:
- Metabolic disorders, particularly DKA, should be considered in the differential diagnosis of new-onset left ventricular dysfunction.
- This case highlights a reversible cardiovascular manifestation of DKA, emphasizing the systemic impact of diabetes.
Keywords:
AcidemiaAcidosisCetoacidose diabéticaDiabetic ketoacidosisDisfunção ventricular esquerdaLeft ventricular dysfunctionMore Related Videos
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