Author Of 1 Presentation
SUPRAVENTRICULAR TACHYCARDIA ASSOCIATED WITH DIABETIC KETOACIDOSIS: CASE REPORT
Abstract
Background
Diabetic ketoacidosis(DKA) is a common acute complication of type 1 diabetes mellitus. Cardiac arrhythmias have not been recognised as a common complication of DKA in young adolescent diabetic patients. The possible causes of the arrhytmias metabolic acidosis itself, the dehydration and the electrolyte imbalance. Diabetic ketoacidosis can produce hypophosphataemia, and hypomagnesaemia, both of these electrolyte imbalances have been implicated in tachyarrhythmias including Supraventricula tachicardia(SVT).
Objectives
A case report of a patient with SVT with diabetic ketoacidosis was presented.
Methods
A 15-year-old female patient, who was previously known to be healthy, was referred from our hospital with a preliminary diagnosis of diabetic ketoacidosis. SVT was developed at the 6th hour of follow-up. Adenosine was given in repeated doses in accordance with the protocol. When no response was obtained, amiodarone treatment was started. This treatment response was obtained and the patient came out of the SVT after the 12th hour of hospitalization. During the SVT, the patient's PH value increased from 6.8 to 7.01. Potassium,magnesium and phosphorus values that were normal at the beginning of treatment were measured at low levels during the course of SVT.
Results
Metabolic acidosis and impaired ion values may affect cardiac muscle contractility and conduction system and cause cardiac dysfunction and arrhythmia. In the present case, SVT was considered to be a disorder that developed on the basis of acidosis due to the decrease in potassium, magnesium and phosphorus in spite of the precautions taken in the course of treatment.