Hypoglycemia-Induced Angina Pectoris in a Patient with Diabetes Mellitus
Authors: Elia Duh
Journal: Annals of Internal Medicine (1994)

Brief Communications15 December 1994Hypoglycemia-Induced Angina Pectoris in a Patient with Diabetes MellitusElia Duh, MD and Mark Feinglos, MDElia Duh, MDFrom Duke University Medical Center, Durham, North Carolina. and Mark Feinglos, MDFrom Duke University Medical Center, Durham, North Carolina.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-121-12-199412150-00007 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail The effects of diabetes mellitus on the prevalence of coronary artery disease and myocardial infarction are well known, as are the common precipitators of angina pectoris—physical exertion, emotional stress, and digestion of a large meal. We describe a patient with diabetes mellitus in whom angina pectoris was typically precipitated by hypoglycemia.Case ReportA 61-year-old white woman with diabetes was hospitalized for evaluation of chest pain induced by hypoglycemia. She had had myocardial infarctions in 1974 and 1980; she had been diagnosed with diabetes at age 47 and had been receiving insulin since that time. Her only other cardiac risk ...References1. Pladziewicz DS, Nesto RW. Hypoglycemia-induced silent myocardial ischemia. Am J Cardiol. 1989; 63:1531-2. Google Scholar2. Bowman CE, MacMahon DG, Mourant AJ. Hypoglycaemia and angina (Letter). Lancet. 1985; 1:639-40. Google Scholar Author, Article, and Disclosure InformationAuthors: Elia Duh, MD; Mark Feinglos, MDAffiliations: From Duke University Medical Center, Durham, North Carolina.Corresponding Author: Mark N. Feinglos, MD, Duke University Medical Center, Box 3921, Durham, NC 27710. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byHypoglycemic Hemiplegia Associated with Reversible Narrowing of the Contralateral Middle Cerebral Artery in a Patient with Adrenal InsufficiencyReduction in cardiovascular mortality following severe hypoglycemia in individuals with type 2 diabetes: the role of a pragmatic and structured interventionDynamin-related protein 1 mediates low glucose-induced endothelial dysfunction in human arteriolesHypoglycemia in Diabetes MellitusCardiovascular safety assessment of pramlintide in type 2 diabetes: results from a pooled analysis of five clinical trialsManaging hypoglycaemiaHypoglycemia and Hypoglycemic SyndromesHypoglycemia in Diabetes MellitusHyperinsulinism in a child presenting with cardiac ischemia and bradycardiaHypoglycemia From a Cardiologist's PerspectiveIntensive glucose control and hypoglycaemia: a new cardiovascular risk factor?HypoglycemiaA case of hypoglycemic hemiparesis and literature reviewAcute Hypoglycemia Decreases Myocardial Blood Flow Reserve in Patients With Type 1 Diabetes Mellitus and in Healthy HumansSevere Hypoglycemia and Risks of Vascular Events and DeathIntensive Insulin Therapy in the Intensive Care Unit, Hypoglycemia, and Cardiovascular MortalityHypoglycemia in Diabetes MellitusHypoglycemia and Hypoglycemic SyndromesSilent Myocardial Infarction and HypoglycaemiaElectrocardiographic Alterations during Hyperinsulinemic Hypoglycemia in Healthy SubjectsPlasma Glucose Regulation and Mortality in Pima IndiansImpact of diabetes, chronic heart failure, congenital heart disease and chronic obstructive pulmonary disease on acute and chronic exercise responsesHypoglycemia-induced myocardial infarction: An unusual adverse effect of sulfonylureasHypoglycemiaHypoglycaemia and electrocardiographic changes in a subject with diabetes mellitusLow Fasting Plasma Glucose Level as a Predictor of Cardiovascular Disease and All-Cause MortalityHypoglycaemia and cardiac arrestHyperglycemia-induced angina pectoris in a patient with diabetes mellitusFatal cardiac arrest following acute hypoglycaemia in a diabetic patient 15 December 1994Volume 121, Issue 12Page: 945-946KeywordsAnginaBloodDiabetes mellitusElectrocardiographyGlucoseHypoglycemiaIschemiaMyocardial infarctionStable coronary artery diseaseStenosis ePublished: 15 August 2000 Issue Published: 15 December 1994 Copyright & PermissionsCopyright © 1994 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...