Cardiac Arrest Related to Torsades de Pointes in a Patient Recovering from Diabetic Ketoacidosis
10.3904/kjm.2021.96.5.432
- Author:
Jinmo KIM
1
;
Ju Yeop LEE
;
Won Sang YOO
;
Myung Yong LEE
;
Hyun-Kyung CHUNG
Author Information
1. Department of Internal Medicine, Dankook University College of Medicine, Cheonan, Korea
- Publication Type:3
- From:Korean Journal of Medicine
2021;96(5):432-437
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Diabetic ketoacidosis (DKA) is an acute complication related to severe hyperglycemia. While the mortality rate for DKA is low with appropriate therapy, several complications may lead to deterioration of the clinical course. Here, we report a case of a 23-year-old patient with DKA who suffered from a rare but hemodynamically unstable cardiac arrhythmia, polymorphic ventricular tachycardia with prolonged QT interval, or Torsades de Pointes. During the recovery phase of DKA, three episodes of Torsades de Pointes suddenly occurred, and were recovered by immediate defibrillation. The patient did not have structural heart disease or a genetic predisposition. To the best of our knowledge, this is the first report of an adult with DKA complicated with QT prolongation related to Torsades de Points after correction of ketosis. To manage DKA, more attention may be needed on changes in the QT interval as well as risk factors for Torsades de Points.
