Case report: Takotsubo cardiomyopathy and cardiac arrest in a 9-year-old girl with new-onset diabetes presenting with diabetic ketoacidosis: the chicken or the egg?
This case highlights that potentially fatal stress cardiomyopathy and cardiac arrest can unexpectedly occur during the treatment of pediatric severe DKA, even without electrolyte disturbances, brain edema or any history of prior heart disease. Due to these risks, we conclude that all pediatric patients with severe DKA should be treated in the PICU, with continuous ECG monitoring.
Authors
- Sladjana Todorović (ORCID: https://orcid.org/0000-0002-3083-5477)
- Vladislav Vukomanović (ORCID: https://orcid.org/0000-0002-5244-1436)
- Sanja Panić Zarić
- Staša Krasić (ORCID: https://orcid.org/0000-0002-3007-5631)
- Dimitrije Cvetković
- Katarina Mitrović (ORCID: https://orcid.org/0000-0002-3328-8739)
- Tatjana Milenković (ORCID: https://orcid.org/0000-0002-5239-7113)
- Rade Vukovic
Institutions
- University of Belgrade (RS)
- Institute of Public Health of Serbia (RS)
Publication Details
- Journal
- Frontiers in Endocrinology
- Published
- 2026-01-07
- DOI
- https://doi.org/10.3389/fendo.2025.1723428
- Primary Topic
- Takotsubo Cardiomyopathy and Associated Phenomena
- Type
- article
- Field-Weighted Citation Impact
- 0.00