R. Gurreri, P. Poommipanit and A. Alghamdi (2023). Cardiogenic shock secondary to stress-induced cardiomyopathy precipitated by severe diabetic ketoacidosis. Oxford medical case reports, 2023(1), omac156. https://doi.org/10.1093/omcr/omac156

PubMed 36694605

[Abstract]
Stress-induced cardiomyopathy is caused by neurohormonal release of catecholamines. Although diabetic ketoacidosis (DKA) is a well-known complication of diabetes, diabetes mellitus is usually protective of stress-induced cardiomyopathy. Stress-induced cardiomyopathy secondary to DKA is extremely rare; however, cardiogenic shock is a potential complication of stress-induced cardiomyopathy. We present a rare case describing diabetic ketoacidosis leading to profound acidosis causing stress-induced cardiomyopathy and cardiogenic shock that is successfully managed with venoarterial extracorporeal membrane oxygenation in adults.