From hypoglycemia to right heart infarction: treatment of hypoglycemia in type 1 diabetes.

This case report presents a young 30-year old male patient with type 1 diabetes mellitus, who was treated for hypoglycemia and a general bad feeling. He was somnolent, pale, sweaty, hypotensive (65/40 mmHg) with bradycardia (40 beats per min) and additional workup revealed right myocardial infarction. Since diabetes causes neuropathy, it is important to keep in mind that chest pain in acute coronary syndrome can be absent in diabetic patients suggesting that if a patient with hypoglycemia has additional symptoms or if the general condition does not improve after glycemic control, additional investigation should always be performed.