Troponin and St Segment Elevation in a Diabetic Ketoacidosis Patient without Acute Coronary Syndrome

Diabetic ketoacidosis (DKA) is a major acute complication in diabetes. The acute coronary syndrome is a risk factor for DKA with a higher associated mortality rate. Also diabetic mellitus is a high risk factor to acute coronary syndrome. Thus, we need to recognize severe cardiac events in a timely fashion when DKA happen. Although DKA initially shows similar symptoms and signs to acute coronary syndrome, including hyperkalaemia, electrocardiographic ST segment elevation and increased cardiac enzymes. We report a patient who presented with a ST segment elevation and cardiac enzymes levels elevation due to DKA without acute coronary syndrome.