# A Case of Diabetic Ketoacidosis-Induced Cardiomyopathy

## TL;DR

A patient with diabetic ketoacidosis developed a reversible heart condition, suggesting a metabolic cause rather than emotional or physical stress.

## Contribution

This case highlights a novel metabolic trigger for stress-like cardiomyopathy unrelated to typical stressors.

## Key findings

- The patient's cardiomyopathy was linked to diabetic ketoacidosis, not emotional or physical stress.
- Echocardiogram and catheterization showed no coronary abnormalities, pointing to a metabolic cause.
- The case suggests a distinct mechanism for DKA-induced cardiomyopathy.

## Abstract

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.