Acute Pancreatitis Simulating Myocardial Infarction with Characteristic Electrocardiographic Changes

1954 ◽  
Vol 27 (6) ◽  
pp. 861-864 ◽  
Author(s):  
T.C. Bauerlein ◽  
L.H.O. Stobbe
1971 ◽  
Vol 82 (5) ◽  
pp. 672-677 ◽  
Author(s):  
Martin H. Cohen ◽  
Alberto Rotsztain ◽  
Patrick J. Bowen ◽  
Gerald I. Shugoll

2021 ◽  
Vol 48 (5) ◽  
Author(s):  
Ritodhi Chatterjee ◽  
Yagya Pandey ◽  
Joshua R. Hirsch ◽  
Gabriel B. Habib

2001 ◽  
Vol 15 (8) ◽  
pp. 522-526 ◽  
Author(s):  
Paul Khairy ◽  
Pierre Marsolais

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.


2002 ◽  
Vol 12 (4) ◽  
pp. 411-413 ◽  
Author(s):  
S. Jothi Murugan ◽  
James Gnanapragasam ◽  
Joseph Vettukattil

AbstractWe describe two neonates presenting with myocardial infarction, due to two different aetiologies of this extremely rare but potentially treatable condition, and discuss the management. One neonate had myocardial infarction complicating enteroviral myocarditis and recovered completely. The second had fatal myocardial infarction due to thrombosis of the left coronary artery. Although rare, the attending paediatrician should have a high index of suspicion when evaluating a neonate with acute onset of collapse. Electrocardiographic changes are diagnostic, but further echocardiographic assessment and prompt management at a tertiary cardiac centre are advised.


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