A case of acute pancreatitis presenting with electrocardiographic signs of acute myocardial infarction.
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.
Yu
Aimee C
AC
Department of Medicine, Mayo Clinic, Rochester, MN 55905, USA.
Riegert-Johnson
Douglas L
DL
D000208:Acute Disease; D000368:Aged; D002037:Bundle-Branch Block / Q000150:complications / Q000473:pathology* / Q000503:physiopathology; D003937:Diagnosis, Differential; D004562:Electrocardiography; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology / Q000473:pathology* / Q000503:physiopathology; D010195:Pancreatitis / Q000209:etiology / Q000473:pathology* / Q000503:physiopathology; D014057:Tomography, X-Ray Computed; D018487:Ventricular Dysfunction, Left / Q000150:complications / Q000473:pathology* / Q000503:physiopathology