Pancreatitis with Electrocardiographic Changes Mimicking Acute Myocardial Infarction
Key result
Acute pancreatitis in a 64-year-old woman caused ST segment elevations mimicking an anterior myocardial infarction, with no cardiac pathology found on echocardiography or coronary angiography.
Population
1 64-year-old woman with mild acute pancreatitis and chronic renal insufficiency on hemodialysis
Design
Case_report
Authors
Discussion
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Member takes
Implication
Consider acute pancreatitis in unexplained ST-elevation mimics; this case leaves open systematic confirmation.
Key Points
- To investigate the electrocardiographic changes associated with acute pancreatitis and differentiate them from myocardial infarction.
- Case report of a 64-year-old woman with acute pancreatitis and ECG changes.
- Serial electrocardiogram monitoring was conducted.
- Echocardiography and coronary angiography were performed to rule out cardiac pathology.
- The patient exhibited ST segment elevations in V2 to V4, followed by T wave inversions, mimicking a myocardial infarction.
- No cardiac abnormalities were found via echocardiography and coronary angiography.
- Literature review discussed possible mechanisms for ECG changes in acute pancreatitis.
Study Design
Type
Case Report (n=1)
Structured PICO
P
Population
A 64-year-old woman with mild acute pancreatitis and chronic renal insufficiency on hemodialysis.
O
Outcome
Electrocardiographic changes mimicking acute myocardial infarction
Acute pancreatitis can present with electrocardiographic changes mimicking acute myocardial infarction in the absence of true cardiac pathology.
Cite This Study
Khairy et al. (2001) conducted a case report in Acute pancreatitis mimicking acute myocardial infarction (n=1). Acute pancreatitis was evaluated on Electrocardiographic changes mimicking acute myocardial infarction. Acute pancreatitis in a 64-year-old woman caused ST segment elevations mimicking an anterior myocardial infarction, with no cardiac pathology found on echocardiography or coronary angiography.