A Case of Hypophosphatemia and Heart Failure with Diabetic Ketoacidosis

Lee, Dae Hwan; Jung, Tae Sik; Kim, Hun Gu; Lee, Gyeong Won; Chung, Hyo Yong; Kang, Seok Jin; Hahm, Jong Ryeal; Choi, Dong Ju; Jung, Soon Il; Lee, Kang Wan

Case Report

Diabetes Monit 2001;2(2):161-167.

저인산혈염증과 심부전증으로 발현한 당뇨병성 케톤산증 환자 1 예

이대환, 정태식, 김훈구, 이경원, 정효영, 강석진, 함종렬, 최동주, 정순일, 이강완

A Case of Hypophosphatemia and Heart Failure with Diabetic Ketoacidosis

Dae Hwan Lee, Tae Sik Jung, Hun Gu Kim, Gyeong Won Lee, Hyo Yong Chung, Seok Jin Kang, Jong Ryeal Hahm, Dong Ju Choi, Soon Il Jung, Kang Wan Lee

Abstract

Hypokalemia is comment observed during the treatment of diabetic ketoacidosis, but hypophosphatemia is relatively rare. Severe hypophosphatemia (0.32 mmol/L or below) might cause congestive heart failure due to decrease of myocardial contractility. In this reprt we observed that thirty four-year-old female had a pulmonary edema during the treatment of diabetic ketoacidosis. She had no cardiac problem before. We noted the decrease of cardiac wall motion and contractility in echocardiography and severe hypophophatemia(0.13 mmol/L). The myocardiac dysfunction of patient has been dramatically improved after the administration of phosphate via intravenous route. Here we report a case of hypophosphatemia developed during the treatment of diabetic ketoacidosis and heart failure related to hypophosphatemia.

Key Words: Heart failure , Hypophosphatemia , Diabetic ketoacidosis