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Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction
Published on: May 28, 2019
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Acute Pancreatitis Mimicking ST-Segment Elevation Myocardial Infarction
Akanksha Agrawal1, Nuzhat Sayyida1, Jorge Luis Penalver1
1Department of Internal Medicine, Einstein Medical Center, Philadelphia, PA, USA.
Case Reports in Cardiology
|November 27, 2018
Summary
Acute pancreatitis can cause electrocardiogram (ECG) changes that mimic ST-elevation myocardial infarction (STEMI). This case highlights the importance of considering intra-abdominal pathology to avoid unnecessary cardiac interventions.
Area of Science:
- Cardiology
- Gastroenterology
- Emergency Medicine
Background:
- Electrocardiographic (ECG) changes mimicking myocardial ischemia are occasionally reported in patients with intra-abdominal pathology.
- Acute pancreatitis is a known cause of such transient ECG abnormalities.
Observation:
- A 60-year-old male presented with syncope and ECG findings suggestive of STEMI.
- Elevated lipase levels confirmed acute interstitial pancreatitis.
- Coronary angiography revealed nonobstructive coronary artery disease.
Findings:
- The patient's ECG showed sinus bradycardia and ST-segment elevation in multiple leads.
- Abdominal CT confirmed acute pancreatitis.
- Cardiac troponin levels were negative, ruling out acute myocardial infarction.
Implications:
- Intra-abdominal conditions, particularly acute pancreatitis, can present with ECG changes that mimic STEMI.
- Clinical judgment, alongside ECG and echocardiographic findings, is crucial to prevent unnecessary cardiac catheterization and contrast exposure.
- This approach can reduce healthcare costs and patient risks associated with invasive procedures.
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