Citation

Chou S, Ayabe S, Sekine N. Intern. Med. 2015; 54(21): 2727-2733.

Affiliation

Department of Endocrinology and Metabolism, JCHO Tokyo Shinjuku Medical Center, Japan.

Copyright

(Copyright © 2015, Japanese Society of Internal Medicine)

DOI

10.2169/internalmedicine.54.4748

PMID

26521901

Abstract

A 40-year-old diabetic man was admitted to our hospital for poor glycemic control. During hospitalization, he took 42 mg glimepiride and 50 mg zolpidem as a suicide attempt. The following day, the creatine kinase-MB fraction and troponin I levels were elevated to 112 IU/L and 8.77 ng/mL, respectively, without any electrocardiographic abnormalities. The patient recovered completely without any complications. Four weeks later, coronary computed tomography angiography and myocardial perfusion scintigraphy revealed moderate one-vessel coronary disease without the evidence of myocardial ischemia or old infarction. Cardiac-specific markers must be considered in sulfonylurea-induced hypoglycemic patients, particularly when the patient is unconscious and does not exhibit any clinical manifestations.

Language: en