Key result
Treating underlying abdominal pathologies such as acute pancreatitis or cholecystitis resolves ST elevation in the inferior leads after acute coronary syndrome is ruled out.
Noncardiac causes such as acute pancreatitis should be considered in the differential diagnosis of ST elevation in inferior leads once acute coronary syndrome is ruled out.
Noncardiac causes should be kept in the differential while evaluating ST elevation on EKG. Rarely abdominal pathologies like acute pancreatitis can present with ST elevation in the inferior leads. Once acute coronary syndrome is ruled out by emergent cardiac catheterization alternative diagnosis should be sorted. Abdominal pathologies, like acute pancreatitis and acute cholecystitis, can present with ST elevation in the inferior leads. Treating the underlying condition would result in resolution of these EKG changes.
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Sethi et al. (2016) conducted a review in ST elevation with normal coronaries. Treatment of underlying abdominal pathology was evaluated on Resolution of EKG changes. Treating underlying abdominal pathologies such as acute pancreatitis or cholecystitis resolves ST elevation in the inferior leads after acute coronary syndrome is ruled out.
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