Key result
Acute pancreatitis triggered Takotsubo cardiomyopathy in a 55-year-old man, presenting with ischemic changes mimicking acute coronary syndrome despite unrevealing coronary angiography.
Case Report (n=1)
Acute pancreatitis can serve as a rare physical stressor triggering Takotsubo cardiomyopathy, which can mimic acute coronary syndrome.
Acute pancreatitis may trigger Takotsubo cardiomyopathy mimicking ACS; this case report leaves open incidence and screening implications.
Takotsubo cardiomyopathy (TCM) is triggered by multiple physical and psychological stressors and frequently mimics acute coronary syndrome. Acute pancreatitis as a trigger for TCM has rarely been reported. We report a 55-year-old African American man with hypertension and alcohol abuse history, who presented with epigastric and sub-sternal pain and electrocardiogram demonstrating ischemic changes. Laboratory parameters revealed elevated troponin-I, amylase, lipase, and metabolic acidosis. He was diagnosed with acute pancreatitis and ACS. Coronary angiogram was unrevealing for coronary atherosclerosis and he was managed conservatively for acute pancreatitis and heart failure from TCM.
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Bruenjes et al. (2015) conducted a case report in Takotsubo cardiomyopathy (n=1). Acute pancreatitis was evaluated. Acute pancreatitis triggered Takotsubo cardiomyopathy in a 55-year-old man, presenting with ischemic changes mimicking acute coronary syndrome despite unrevealing coronary angiography.
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