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- Title
A SILENT MYOCARDIAL INFARCTION IN A DIABETIC PATIENT AFTER PARTIAL FOOT AMPUTATION: CASE REPORT AND REVIEW OF THE LITERATURE.
- Authors
Adelaida Avino; Cristian Radu Jecan; Cozma, Cristina-Nicoleta; Gheoca-Mutu, Daniela Elena; Balcangiu-Stroescu, Andra-Elena; Tanasescu, Maria-Daniela; Ionescu, Dorin; Raducu, Laura
- Abstract
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.
- Subjects
FOOT amputation; LITERATURE reviews; DIABETIC foot; INTENSIVE care units; MYOCARDIAL infarction; DYSAUTONOMIA
- Publication
Romanian Medical Journal, 2019, Vol 66, Issue 1, p45
- ISSN
1220-5478
- Publication type
Article
- DOI
10.37897/rmj.2019.1.9