Endocrinology Research and Practice
Case Report

Markedly Elevated Troponin in Diabetic Ketoacidosis without Acute Coronary Syndrome


Ankara University Faculty of Medicine, Department of Cardiology, Ankara, Turkey


Ankara University Faculty of Medicine, Department of Endocrinology, Ankara, Turkey

Endocrinol Res Pract 2016; 20: 58-60
DOI: 10.4274/tjem.2997
Read: 1142 Downloads: 382 Published: 01 June 2016


Troponin gives excellent accuracy in the identification of myocardial necrosis, however, it may elevate also in a series of non-atherosclerotic heart diseases. We report the case of a 58-year-old woman with diabetic ketoacidosis (DKA). She had markedly increased levels (90 fold) of cardiac biomarkers (troponin I and CK-MB) and initial electrocardiography changes compatible with myocardial infarction. She had normal a coronary angiogram. This case shows that nonspecific myocardial injury may occur in DKA with the findings mimicking myocardial infarction including increased level of cardiac biomarkers and electrocardiography changes.



EISSN 2822-6135