Myocardial Infarction Mimicked by Acute Cholecystitis

Brief Reports1 February 1992Myocardial Infarction Mimicked by Acute CholecystitisEdward T. Ryan, MD, Peter H. Pak, MD, Roman W. DeSanctis, MDEdward T. Ryan, MD, Peter H. Pak, MD, Roman W. DeSanctis, MDAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-116-3-218 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAcute Cholecystitis, pancreatitis, myocarditis, and pneumonia have each been associated with transient electrocardiographic changes consistent with myocardial ischemia or infarction (1-5). Although these changes usually take the form of T-wave inversions or ST-segment depressions, rare reports of ST-segment elevations do exist (1-3). We describe a patient with persistent and marked anterior ST-segment elevations without evidence of obstruction or spasm of coronary arteries, pericarditis, or myocardial cell damage. These changes resolved rapidly after removal of an acutely inflamed gallbladder. This is the first report of such ST-segment elevations to include angiographic data.Case ReportA previously healthy 46-year-old man presented to...References1. TerradellasBellotSarisGilTorrallardonaGarriga JJACAJ. Acute and transient ST segment elevation during bacterial shock in seven patients without apparent heart disease. Chest. 1982;81:444-8. CrossrefMedlineGoogle Scholar2. FultonMarriott MH. Acute pancreatitis simulating myocardial infarction in the electrocardiogram. Ann Intern Med. 1963;59:730-2. LinkGoogle Scholar3. WaldmanPalaciosHutterDec HIAG. Biopsy proven myocarditis mimicking acute myocardial infarction. Circulation. 1988;78(Supl II):457. Google Scholar4. KrasnaFlancbaum ML. Electrocardiographic changes in cardiac patients with acute gallbladder disease. Am Surg. 1986;52:541-3. MedlineGoogle Scholar5. Dickerman J. Electrocardiographic changes in acute cholecystitis. J Am Osteopath Assoc. 1989;89:630-5. MedlineGoogle Scholar6. FergusonFarwellBradleyRollings DAWR. Coronary artery vasospasm complicating acute myocarditis. West J Med. 1988;148:664-9. MedlineGoogle Scholar7. HodgeMesserHill GAH. Effect of distension of the biliary tract on the electrocardiogram. Arch Surg. 1947;55:710-22. CrossrefMedlineGoogle Scholar8. HamptonBeckwithWood AJJ. The relationship between heart disease and gallbladder disease. Ann Intern Med. 1957, 50:1135-45. Google Scholar9. HodgeMesser GA. The electrocardiogram in biliary tract disease and during experimental biliary distension: clinical observations on 26 patients. Surg Gynecol Obstet. 1948;86:617-26. MedlineGoogle Scholar10. WeilShubinBiddle MHM. Shock caused by gram negative microorganisms: analysis of 169 cases. Ann Intern Med. 1964;60:384-400. LinkGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: From Massachusetts General Hospital, Boston, Massachusetts: Harvard Medical School, Boston, Massachusetts. For current author addresses, see end of text. 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French, MD 1 February 1992Volume 116, Issue 3Page: 218-220KeywordsGallbladderHospital medicineInfarctionInfectious diseasesIschemiaMuscular dystrophiesMyocardial infarctionMyocarditisPancreatitisPneumonia Issue Published: 1 February 1992 PDF downloadLoading ...