A. Taha, S. Ahmed, R. Ahmed Mbbs and A. Mohammed Md (2022). Type 2 Myocardial Infarction Related to Very Low Carbohydrate Ketogenic Diet. Journal of investigative medicine high impact case reports, 10, 23247096221074879. https://doi.org/10.1177/23247096221074879

PubMed 35272529

[Abstract]
A 38-year-old male with no history of cardiac disease presented with chest pain typical of acute coronary syndrome. He assumed very-low-carbohydrate ketogenic diet (VLC-KD) 4 weeks prior to admission but no other lifestyle change. Workup showed dynamic ST-T changes on electrocardiogram, significantly elevated troponins, ketonuria, and mild rhabdomyolysis. Transthoracic echocardiogram revealed mild inferior wall hypokinesia and cardiac catheterization showed normal coronaries; hence, the diagnosis of type II myocardial infarction (MI) was established. Although the pathogenesis remains unclear, this temporal association between VLC-KD and type 2 MI raised some concerns about VLC-KD's cardiovascular safety profile.