Clinical cardiology
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Clinical cardiology · Feb 2008
Positive troponin in diabetic ketoacidosis without evident acute coronary syndrome predicts adverse cardiac events.
Elevated troponin I has been associated with increased mortality in critically ill patients without acute coronary syndrome (ACS). However, the prognostic significance of troponin elevation in patients with diabetic ketoacidosis (DKA) without evident ACS has not been studied. ⋯ Elevated troponin I in diabetic patients admitted with DKA identifies a group at very high risk for future cardiac events and mortality. Whether cardiac risk stratification of these patients will improve long term outcome remains to be studied.