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Acute coronary syndrome and diabetic keto acidosis: the chicken or the egg?

  
@article{ATM28275,
	author = {Keitiane Kaefer and Ilaria Botta and Aude Mugisha and Brahim Berdaoui and David De Bels and Rachid Attou and Patrick M. Honoré and Sebastien Redant},
	title = {Acute coronary syndrome and diabetic keto acidosis: the chicken or the egg?},
	journal = {Annals of Translational Medicine},
	volume = {7},
	number = {16},
	year = {2019},
	keywords = {},
	abstract = {We sought to describe two cases of diabetic ketoacidosis (DKA) with elevated troponin. The association of DKA with myocardial infarction (MI) is very frequent. We therefore decide to look deeply in the potential mechanisms behind this strong relationship. We did review the potential role of severe acidosis, intracellular calcium, the counter-regulatory hormones and the potential of the free fatty acid release. Those two conditions can trigger each other and it is often difficult to know which condition appear first. Ultimately, it stands to reason that the message for the clinician should be that a troponin elevation in a DKA patient should always be considered as a coronary abnormality until proven otherwise.},
	issn = {2305-5847},	url = {https://atm.amegroups.org/article/view/28275}
}