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BMC Res Notes. 2018 Mar 9;11(1):167. doi: 10.1186/s13104-018-3274-0.

A case of acute necrotizing pancreatitis complicated with non ST elevation myocardial infarction.

Author information

1
Faculty of Medicine, University of Peradeniya, Peradeniya, Sri Lanka. udayapralapanawa@yahoo.com.
2
Faculty of Medicine, University of Peradeniya, Peradeniya, Sri Lanka.
3
Teaching Hospital Peradeniya, Peradeniya, Sri Lanka.

Abstract

BACKGROUND:

Acute pancreatitis is an inflammatory condition with varying severity and a range of local and systemic complications. Here we report a patient with acute necrotizing pancreatitis complicated with a true non ST elevation myocardial infarction.

CASE PRESENTATION:

A 58 year old lady was admitted to our unit with acute onset epigastric pain and vomiting for 4 h duration. Following admission she complained of retrosternal tightening type of a chest pain. She had elevated serum amylase and cardiac troponin. Electrocardiogram (ECG) revealed lateral ischaemia. Contrast computerized tomography abdomen revealed acute severe necrotizing pancreatitis.

CONCLUSIONS:

Nonspecific ECG changes can occur in patients with acute pancreatitis. But the diagnosis of true myocardial infarction in a context of acute pancreatitis using ECGs, 2D echocardiography, cardiac biomarkers and coronary angiograms can be challenging with the choice of revascularization therapy and safety of antiplatelet agents and anticoagulant therapy. Decision making regarding the management of such a patient is also critical.

KEYWORDS:

2D echocardiogram; Acute pancreatitis; ECG; Myocardial infarction; Troponin I

PMID:
29523189
PMCID:
PMC5845204
DOI:
10.1186/s13104-018-3274-0
[Indexed for MEDLINE]
Free PMC Article

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