Document Detail


A case of acute pancreatitis presenting with electrocardiographic signs of acute myocardial infarction.
MedLine Citation:
PMID:  14730176     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Aimee C Yu; Douglas L Riegert-Johnson
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2004-01-15
Journal Detail:
Title:  Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.]     Volume:  3     ISSN:  1424-3903     ISO Abbreviation:  Pancreatology     Publication Date:  2003  
Date Detail:
Created Date:  2004-02-17     Completed Date:  2004-09-07     Revised Date:  2006-03-28    
Medline Journal Info:
Nlm Unique ID:  100966936     Medline TA:  Pancreatology     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  515-7     Citation Subset:  IM    
Copyright Information:
Copyright 2003 S. Karger AG, Basel and IAP
Affiliation:
Department of Medicine, Mayo Clinic, Rochester, MN 55905, USA.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Aged
Bundle-Branch Block / complications,  pathology*,  physiopathology
Diagnosis, Differential
Electrocardiography*
Humans
Male
Myocardial Infarction / etiology,  pathology*,  physiopathology
Pancreatitis / etiology,  pathology*,  physiopathology
Tomography, X-Ray Computed
Ventricular Dysfunction, Left / complications,  pathology*,  physiopathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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