This cardiology case report from Brady Pregerson, MD, features a man in his mid-80s presenting with tachypnea and diabetic ketoacidosis. Check out the ECG and determine the correct diagnosis!
A patient in their mid-80’s with a history of DM and dementia is brought to the hospital with tachypnea and glucose >800. He is a poor historian but denies any chest pain, abdominal pain or vomiting. He admits to being a little SOB but denies other complaints.
Vital signs show pulse around 115 and a soft BP. The physical exam shows dry oropharynx and basilar rales on lung auscultations with mild peripheral edema
An ECG is Done:
What is the most likely cause of the ECG findings in this patient?