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Target Concepts:
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Query: UMLS:C0034065 (
pulmonary embolism
)
14,979
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
We report herein 6 cases of sudden cardiac arrest in
alcoholic ketoacidosis
(
AKA
). All cases displayed evidence of prolonged excessive alcohol consumption and elevated beta-hydroxybutyric acid levels and exhibited pulseless electrical activity (PEA) upon collapse. Severe metabolic acidosis was also seen in all cases. Some cases also displayed concomitant respiratory acidosis, hypothermia, hypoxia and/or hemorrhage. No evidence of myocardial infarction, tamponade or right heart strain, which would suggest
pulmonary embolism
, was found on cardiac ultrasonography. As PEA in
AKA
is induced by severe metabolic acidosis, aggressive correction of acidosis may represent a useful therapeutic strategy for such patients.
...
PMID:Six cases of sudden cardiac arrest in alcoholic ketoacidosis. 1819 1