Acute Pancreatitis Simulating Myocardial Infarction in the Electrocardiogram

Case Studies1 November 1963Acute Pancreatitis Simulating Myocardial Infarction in the ElectrocardiogramMORRIS C. FULTON, M.D., HENRY J. L. MARRIOTT, M.D.MORRIS C. FULTON, M.D.Search for more papers by this author, HENRY J. L. MARRIOTT, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-59-5-730 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIt is well known that acute abdominal disease can alter the electrocardiogram in ways that mimic myocardial ischemia. It is not so widely known that the acute abdomen can simulate myocardial infarction. The following case illustrates that acute pancreatitis can produce electrocardiographic changes generally regarded as diagnostic of myocardial infarction.CASE REPORTA 61-year-old gouty white accountant drank a bowl of soup on April 2, 1963, promptly developed severe upper abdominal pain and vomited once. Three hours later he was admitted to the King Edward VII Memorial Hospital in Bermuda. He was known to have had mild hypertension for years...References1. GOTTESMANCASTENBELLER JEA: Changes in the electrocardiogram produced by acute pancreatitis. JAMA 123: 892, 1943. CrossrefGoogle Scholar2. BAUERLEINSTOBBE TCLH: Acute pancreatitis simulating myocardial infarction with characteristic electrocardiographic changes. Gastroenterology 27: 861, 1954. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: MORRIS C. FULTON, M.D.; HENRY J. L. MARRIOTT, M.D.Affiliations: Tampa, FloridaFrom the Medical Service, King Edward VII Memorial Hospital, Bermuda, and The Cardiology Center, Tampa General Hospital, Tampa, Florida.Requests for reprints should be addressed to Henry J. Marriott, M.D., The Cardiology Center, Tampa General Hospital, Tampa, Florida. 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QS waves in the precordial leadsComplications of Acute PancreatitisAkute PankreaserkrankungenPankreaserkrankungen bei Erkrankungen anderer OrganeDisappearance of abnormal Q waves after aortocoronary bypass surgeryTransient Q waves in Prinzmetal's anginaDay-to-day variation of the Frank electrocardiogram and vectorcardiogram in heart diseaseHistochemical, luminescence, and electron-microscopic study of the pancreas in experimental peritonitisTransient Abnormal Q Waves in the Course of Ischemic Heart DiseaseElectrocardiographic changes in acute pancreatitis resembling acute myocardial infarctionUnusual normalization of the electrocardiogram on the 6th day of myocardial infarctionTransient electrocardiographic changes simulating myocardial infarction during open-heart surgeryHUMAN PANCREATIC ATHEROSCLEROSISTransient QRS changes simulating myocardial infarction associated with shock and severe metabolic stressCase 5-1967Transient abnormal Q waves during coronary insufficiencyElectrocardiographic Pattern of Massive Myocardial Infarction without Pathologic Confirmation 1 November 1963Volume 59, Issue 5_Part_1Page: 730-732KeywordsAbdominal painAcute pancreatitisElectrocardiographyHypertensionIschemiaMedical servicesMyocardial infarction ePublished: 1 December 2008 Issue Published: 1 November 1963 PDF downloadLoading ...