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Panminerva Medica 1998 December;40(4):347-9

language: English

Silent myocardial ischemia induced by hypoglycemia

Pezzilli R., Broccoli P., Billi P., Barakat B.

From the Emergency Department S. Orsola Hospital, Bologna, Italy


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Hypoglycemia is known to produce various EKG changes, including arrhythmias. Although these changes have been rarely documented, their presence may pose diagnostic and therapeutic problems in an emergency situation. We report the case of a 81-year-old man with insulin-dependent diabetes mellitus who showed electrocardiographic features of acute myocardial ischemia during an episode of hypoglycemia; these alterations disappeared after glucose administration.

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