John Libbey Eurotext

Sang Thrombose Vaisseaux

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From hypoglycemia to myocardial infarction: another particularity of diabetes Volume 35, issue 1, January-February 2023

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Authors
1 Centre hospitalier universitaire Sylvanus Olympio de Lomé, service de cardiologie, 198, rue de l’Hôpital Tokoin, BP 57 Lomé, Togo
2 Centre hospitalier universitaire Campus de Lomé, service de cardiologie, Boulevard Gnassingbé Eyadéma, Cité Oua, 03 BP 30284, Lomé, Togo
3 Clinique médico-cardiologique Cœur de Grâce, Totsi-Gblinkomé, BP 3022 Lomé, Togo
4 Centre hospitalier universitaire de Kara, service de cardiologie, BP 18 Kara, Togo
* Tirés à part : Y.M. Afassinou

Diabetic myocardial infarction can be completely silent. Hypoglycemia is rarely a circumstance of discovery unlike hyperglycemia and ketoacidosis which can mask myocardial infarction. We report the case of a 43-year-old patient with type 1 diabetes who had lipothymia at home that has shown hypoglycemia corrected after sugar intake, in whom a complicated acute myocardial infarction of the atrioventricular block was diagnosed. He benefited from the placement of a temporary pacemaker in emergency and revascularization of the right coronary seat of a thrombotic occlusion.