A Case of Diabetic Ketoacidosis-Induced Cardiomyopathy

Stress cardiomyopathy is a reversible syndrome that is usually triggered by emotional and physical stressors. We describe a patient who was admitted with diabetic ketoacidosis (DKA) and found to have metabolic-induced cardiomyopathy. The echocardiogram primarily revealed hypokinesis in the mid-segments, and left heart catheterization showed angiographically normal-appearing coronary vessels. The patient did not have significant emotional or physical stressors but did have a significant metabolic derangement. We suspect that the underlying mechanism of DKA-induced cardiomyopathy may differ from that of stress cardiomyopathy. Therefore, further observation and investigation are warranted.