Type 2 Myocardial Infarction Related to Very Low Carbohydrate Ketogenic Diet.
Ahmed TahaSelma AhmedRoaa Ahmed MbbsAhmed Mohammed MdPublished in: Journal of investigative medicine high impact case reports (2022)
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.
Keyphrases
- left ventricular
- acute coronary syndrome
- weight loss
- physical activity
- heart failure
- emergency department
- acute kidney injury
- metabolic syndrome
- cardiovascular disease
- percutaneous coronary intervention
- type diabetes
- single cell
- antiplatelet therapy
- coronary artery disease
- gestational age
- atrial fibrillation
- preterm birth