Key result
Acute pancreatitis can be associated with electrical changes and elevated cardiac enzymes mimicking acute coronary syndrome with normal coronary arteries, likely due to stress cardiomyopathy.
Why the study?
The pathophysiological mechanisms underlying the rare association of acute pancreatitis with ST-segment elevation, elevated cardiac enzymes, and normal coronary arteries remain poorly understood.
Case Report (n=1)
Stress cardiomyopathy should be considered in patients with acute pancreatitis presenting with clinical signs suggestive of acute coronary syndrome to avoid inappropriate antithrombotic therapy.
Acute pancreatitis may mimic ACS with normal coronaries; single case leaves open mechanisms and prevalence.
Acute pancreatitis can be associated with electrical changes mimicking acute coronary syndrome with normal coronary arteries. The association of acute pancreatitis with ST-segment elevation and elevated cardiac enzymes has been reported in few observations. The pathophysiological mechanisms of this association remain poorly understood. We report the case of a 63-year-old woman presenting with chest pain, changes in the electrocardiogram and elevated cardiac enzymes with normal coronary arteries associated with acute pancreatitis. Stress cardiomyopathy or Takotsubo syndrome associated with acute pancreatitis was the most likely diagnosis in our case. Stress cardiomyopathy should be considered a possibility in case of patients with acute pancreatitis who present with clinical signs suggestive of acute coronary syndrome.
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Mouedder et al. (2020) conducted a case report in Acute pancreatitis mimicking acute coronary syndrome (n=1). Acute pancreatitis was evaluated. Acute pancreatitis can be associated with electrical changes and elevated cardiac enzymes mimicking acute coronary syndrome with normal coronary arteries, likely due to stress cardiomyopathy.
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