tetano
Editor, Senior Moderator
Am J Emerg Med
. 2021 Apr 19;S0735-6757(21)00331-4.
doi: 10.1016/j.ajem.2021.04.045. Online ahead of print.
Triple threat: New presentation with diabetic ketoacidosis, COVID-19, and cardiac arrhythmias
Mary Beth Howard[SUP] 1 [/SUP], Sonali Basu[SUP] 2 [/SUP], Elizabeth Sherwin[SUP] 2 [/SUP], Joanna S Cohen[SUP] 3 [/SUP]
Affiliations
Abstract
Patients with diabetes have increased susceptibility to infection with Severe acute respiratory syndrome-coronavirus 2 and increased morbidity and mortality from Coronavirus disease 2019 (COVID-19) infection. Mortality from COVID-19 is sometimes caused by cardiac arrhythmias. Electrolyte disturbances in patients with diabetic ketoacidosis (DKA) can increase the risk of cardiac arrhythmias. Despite these correlations, little has been reported about the co-incidence of these three conditions: COVID-19, DKA and cardiac arrhythmias. In this case report we describe two children with COVID-19, new-onset DKA and cardiac arrhythmias. These cases emphasize the importance of close cardiac and electrolyte monitoring in patients with COVID-19 infection.
Keywords: Cardiac arrhythmias; Coronavirus disease 2019; Diabetic ketoacidosis; Pediatric emergency medicine.
. 2021 Apr 19;S0735-6757(21)00331-4.
doi: 10.1016/j.ajem.2021.04.045. Online ahead of print.
Triple threat: New presentation with diabetic ketoacidosis, COVID-19, and cardiac arrhythmias
Mary Beth Howard[SUP] 1 [/SUP], Sonali Basu[SUP] 2 [/SUP], Elizabeth Sherwin[SUP] 2 [/SUP], Joanna S Cohen[SUP] 3 [/SUP]
Affiliations
- PMID: 33895040
- DOI: 10.1016/j.ajem.2021.04.045
Abstract
Patients with diabetes have increased susceptibility to infection with Severe acute respiratory syndrome-coronavirus 2 and increased morbidity and mortality from Coronavirus disease 2019 (COVID-19) infection. Mortality from COVID-19 is sometimes caused by cardiac arrhythmias. Electrolyte disturbances in patients with diabetic ketoacidosis (DKA) can increase the risk of cardiac arrhythmias. Despite these correlations, little has been reported about the co-incidence of these three conditions: COVID-19, DKA and cardiac arrhythmias. In this case report we describe two children with COVID-19, new-onset DKA and cardiac arrhythmias. These cases emphasize the importance of close cardiac and electrolyte monitoring in patients with COVID-19 infection.
Keywords: Cardiac arrhythmias; Coronavirus disease 2019; Diabetic ketoacidosis; Pediatric emergency medicine.