A SILENT MYOCARDIAL INFARCTION IN A DIABETIC PATIENT AFTER PARTIAL FOOT AMPUTATION: CASE REPORT AND REVIEW OF THE LITERATURE
The diabetic foot syndrome is the most common cause of diabetic patients hospitalization, being a challenging complication of diabetes. This is a case report of a diabetic patient who presented a silent myocardial infarction after partial foot amputation. The patient presented normal troponin at a...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Amaltea Medical Publishing House
2019-03-01
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| Series: | Romanian Medical Journal |
| Subjects: | |
| Online Access: | https://revistemedicale.amaltea.ro/Romanian_MEDICAL_Journal/Revista_MEDICALA_ROMANA-2019-Nr.1/RMJ_2019_1_Art-09.pdf |
| Summary: | The diabetic foot syndrome is the most common cause of diabetic patients hospitalization, being a challenging complication of diabetes. This is a case report of a diabetic patient who presented a silent myocardial
infarction after partial foot amputation.
The patient presented normal troponin at admission, but after 21 days of hospitalization he acused a very
slight pain in the chest and breathing difficulty. The troponin was 682 ng/l. He was transfered immediately in
the intensive care unit for specific treatment. The evolution of the surgical intervention was favourable even
under the poor general status. The patient fully recovered after 10 days and left the cardiology department in
a good clinical condition.
A silent myocardial infarction seems to occur with increased frequency in patients with diabetes, due to the
cardiac autonomic dysfunction. It is highly important a quick diagnosis and a good management of the patient. |
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| ISSN: | 1220-5478 2069-606X |