Pancreatitis with Electrocardiographic Changes Mimicking Acute Myocardial Infarction
A 64-year-old woman with mild acute pancreatitis presented with epigastric pain, nausea and vomiting while undergoing hemodialysis for chronic renal insufficiency. Serial electrocardiograms revealed new onset ST segment elevations in leads V2 to V4 mimicking an anterior myocardial infarction, follow...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Wiley
2001-01-01
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| Series: | Canadian Journal of Gastroenterology |
| Online Access: | http://dx.doi.org/10.1155/2001/604386 |
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| _version_ | 1832567646961270784 |
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| author | Paul Khairy Pierre Marsolais |
| author_facet | Paul Khairy Pierre Marsolais |
| author_sort | Paul Khairy |
| collection | DOAJ |
| description | A 64-year-old woman with mild acute pancreatitis presented with epigastric pain, nausea and vomiting while undergoing hemodialysis for chronic renal insufficiency. Serial electrocardiograms revealed new onset ST segment elevations in leads V2 to V4 mimicking an anterior myocardial infarction, followed by diffusely inverted deep T waves. No cardiac pathology was demonstrated by echocardiography or coronary angiography. A review of the literature and possible pathophysiological mechanisms of electrocardiographic changes in acute pancreatitis, such as metabolic abnormalities, hemodynamic instability, vasopressors, pericarditis, myocarditis, a cardiobiliary reflex, exacerbation of underlying cardiac pathology, coagulopathy and coronary vasospasm, are discussed. |
| format | Article |
| id | doaj-art-4667f73282ea456fa4a8ffff9a0d3c85 |
| institution | Kabale University |
| issn | 0835-7900 |
| language | English |
| publishDate | 2001-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Gastroenterology |
| spelling | doaj-art-4667f73282ea456fa4a8ffff9a0d3c852025-02-03T01:00:52ZengWileyCanadian Journal of Gastroenterology0835-79002001-01-0115852252610.1155/2001/604386Pancreatitis with Electrocardiographic Changes Mimicking Acute Myocardial InfarctionPaul Khairy0Pierre Marsolais1Department of Medicine and Intensive Care, Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Québec, CanadaDepartment of Medicine and Intensive Care, Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Québec, CanadaA 64-year-old woman with mild acute pancreatitis presented with epigastric pain, nausea and vomiting while undergoing hemodialysis for chronic renal insufficiency. Serial electrocardiograms revealed new onset ST segment elevations in leads V2 to V4 mimicking an anterior myocardial infarction, followed by diffusely inverted deep T waves. No cardiac pathology was demonstrated by echocardiography or coronary angiography. A review of the literature and possible pathophysiological mechanisms of electrocardiographic changes in acute pancreatitis, such as metabolic abnormalities, hemodynamic instability, vasopressors, pericarditis, myocarditis, a cardiobiliary reflex, exacerbation of underlying cardiac pathology, coagulopathy and coronary vasospasm, are discussed.http://dx.doi.org/10.1155/2001/604386 |
| spellingShingle | Paul Khairy Pierre Marsolais Pancreatitis with Electrocardiographic Changes Mimicking Acute Myocardial Infarction Canadian Journal of Gastroenterology |
| title | Pancreatitis with Electrocardiographic Changes Mimicking Acute Myocardial Infarction |
| title_full | Pancreatitis with Electrocardiographic Changes Mimicking Acute Myocardial Infarction |
| title_fullStr | Pancreatitis with Electrocardiographic Changes Mimicking Acute Myocardial Infarction |
| title_full_unstemmed | Pancreatitis with Electrocardiographic Changes Mimicking Acute Myocardial Infarction |
| title_short | Pancreatitis with Electrocardiographic Changes Mimicking Acute Myocardial Infarction |
| title_sort | pancreatitis with electrocardiographic changes mimicking acute myocardial infarction |
| url | http://dx.doi.org/10.1155/2001/604386 |
| work_keys_str_mv | AT paulkhairy pancreatitiswithelectrocardiographicchangesmimickingacutemyocardialinfarction AT pierremarsolais pancreatitiswithelectrocardiographicchangesmimickingacutemyocardialinfarction |