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

Aimee C. Yu, Douglas L. Riegert-Johnson

Research output: Contribution to journalArticlepeer-review

24 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 languageEnglish (US)
Pages (from-to)515-517
Number of pages3
JournalPancreatology
Volume3
Issue number6
DOIs
StatePublished - Jan 1 2003

Keywords

  • Acute pancreatitis
  • Electrocardiogram
  • Left bundle branch block
  • Troponin T

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Hepatology
  • Gastroenterology

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