A Case of Acute Pancreatitis Presenting with Electrocardiographic Signs of Acute Myocardial Infarction

Aimee C. Yu; Douglas L. Riegert-Johnson

doi:10.1159/000076327

A Case of Acute Pancreatitis Presenting with Electrocardiographic Signs of Acute Myocardial Infarction

Aimee C. Yu, Douglas L. Riegert-Johnson

Gastroenterology and Hepatology

Research output: Contribution to journal › Article › peer-review

25 Scopus citations

Abstract

A 71-year-old man presented with left upper quadrant abdominal pain. Serial electrocardiograms (ECGs) demonstrated an evolving left bundle branch block, a sign of acute myocardial infarction (AMI). However, a coronary angiogram demonstrated minimal coronary artery disease, and serum troponin T was undetectable in serial serum measurements. Later, serum pancreatic enzyme levels were elevated and a computed tomography scan of the abdomen was consistent with pancreatitis. In patients presenting with acute pancreatitis and ECG changes suggesting AMI, measurement of serum troponin T concentrations can aid in differentiating ECG changes driven by acute pancreatitis from those of true myocardial ischemia or infarction.

Original language	English (US)
Pages (from-to)	515-517
Number of pages	3
Journal	Pancreatology
Volume	3
Issue number	6
DOIs	https://doi.org/10.1159/000076327
State	Published - 2003

Keywords

Acute pancreatitis
Electrocardiogram
Left bundle branch block
Troponin T

ASJC Scopus subject areas

Endocrinology
Endocrinology, Diabetes and Metabolism
Hepatology

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10.1159/000076327

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abstract = "A 71-year-old man presented with left upper quadrant abdominal pain. Serial electrocardiograms (ECGs) demonstrated an evolving left bundle branch block, a sign of acute myocardial infarction (AMI). However, a coronary angiogram demonstrated minimal coronary artery disease, and serum troponin T was undetectable in serial serum measurements. Later, serum pancreatic enzyme levels were elevated and a computed tomography scan of the abdomen was consistent with pancreatitis. In patients presenting with acute pancreatitis and ECG changes suggesting AMI, measurement of serum troponin T concentrations can aid in differentiating ECG changes driven by acute pancreatitis from those of true myocardial ischemia or infarction.",

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N2 - A 71-year-old man presented with left upper quadrant abdominal pain. Serial electrocardiograms (ECGs) demonstrated an evolving left bundle branch block, a sign of acute myocardial infarction (AMI). However, a coronary angiogram demonstrated minimal coronary artery disease, and serum troponin T was undetectable in serial serum measurements. Later, serum pancreatic enzyme levels were elevated and a computed tomography scan of the abdomen was consistent with pancreatitis. In patients presenting with acute pancreatitis and ECG changes suggesting AMI, measurement of serum troponin T concentrations can aid in differentiating ECG changes driven by acute pancreatitis from those of true myocardial ischemia or infarction.

AB - A 71-year-old man presented with left upper quadrant abdominal pain. Serial electrocardiograms (ECGs) demonstrated an evolving left bundle branch block, a sign of acute myocardial infarction (AMI). However, a coronary angiogram demonstrated minimal coronary artery disease, and serum troponin T was undetectable in serial serum measurements. Later, serum pancreatic enzyme levels were elevated and a computed tomography scan of the abdomen was consistent with pancreatitis. In patients presenting with acute pancreatitis and ECG changes suggesting AMI, measurement of serum troponin T concentrations can aid in differentiating ECG changes driven by acute pancreatitis from those of true myocardial ischemia or infarction.

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KW - Electrocardiogram

KW - Left bundle branch block

KW - Troponin T

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A Case of Acute Pancreatitis Presenting with Electrocardiographic Signs of Acute Myocardial Infarction

Abstract

Keywords

ASJC Scopus subject areas

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