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Question:

From Tifton, Georgia, USA:

I am personally aware of two young men who had sudden cardiac death, one at 22, one at 29. Both were non-compliant with frequent episodes of DKA. The autopsies on both revealed only some cardiomyopathy and very large fatty livers. Is this related to the "dead in bed" syndrome?

Answer:

The diabetic cardiomyopathy and fatty liver findings are part of the spectrum of diabetes-related complications seen in people with poorly controlled diabetes. The sudden death syndrome is thought to be associated with diabetic neuropathy. When the nervous system involved with controlling the heart rate is involved with diabetes, these patients are at risk for sudden death from irregular heart rates. When this occurs, there is very little to be seen on autopsy.

JTL

DTQ-20050530082455
Original posting 31 May 2005
Posted to Other

  
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Last Updated: Tuesday April 06, 2010 15:10:02
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