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Case Report: Abnormal ECG in a Patient With Acute Pancreatitis.

Yunxiang Long¹, Manyun Tang², Jie Wang^2,3

¹Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.

Frontiers in Cardiovascular Medicine

|January 10, 2022

Summary

Acute pancreatitis can present with abnormal ECG findings mimicking myocardial infarction. Early diagnosis and multidisciplinary care are crucial for patients with concomitant acute pancreatitis and myocardial infarction (AMI).

Keywords:

ST-segment elevation myocardial infarction acute abdomen case report coronary computed tomography angiography diagnosis

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Area of Science:

Cardiology
Gastroenterology

Background:

Acute pancreatitis and acute myocardial infarction (AMI) are serious, potentially fatal conditions that can occur together.
The simultaneous presentation of AMI and acute pancreatitis is rare but poses significant diagnostic and therapeutic challenges.

Observation:

A 63-year-old woman with acute pancreatitis presented with abnormal electrocardiogram (ECG) findings, including ST-segment elevation and elevated cardiac biomarkers.
Despite the absence of typical chest pain, echocardiography revealed left ventricular dysfunction, and coronary computed tomography angiography (CCTA) confirmed critical coronary artery stenosis.

Findings:

The case highlights that ECG abnormalities and elevated cardiac biomarkers in acute pancreatitis may indicate concomitant AMI.
Diagnostic tools like CCTA are essential for identifying underlying coronary artery disease in such complex cases.

Implications:

Prompt recognition of concurrent AMI in patients with acute pancreatitis is vital for improving patient outcomes.
Multidisciplinary care involving cardiology and gastroenterology is recommended for managing these critically ill patients.