Acute pancreatitis with electrocardiographic changes mimicking acute coronary syndrome : a diagnostic conundrum
Electrocardiographic abnormalities can be associated with acute pancreatitis. However, data regarding the actual causative factor still remains elusive. Many previous cases were reported on non-specific ST and T wave abnormalities concurrent with acute pancreatitis but rarely with an increasin...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Pusat Perubatan Universiti Kebangsaan Malaysia
2018
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| Online Access: | http://journalarticle.ukm.my/20622/1/21_ms0229_pdf_34101.pdf |
| _version_ | 1796933285619695616 |
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| author | Shamala Nair, Faizal AH, |
| author_facet | Shamala Nair, Faizal AH, |
| author_sort | Shamala Nair, |
| collection | UKM |
| description | Electrocardiographic abnormalities can be associated with acute pancreatitis.
However, data regarding the actual causative factor still remains elusive. Many
previous cases were reported on non-specific ST and T wave abnormalities
concurrent with acute pancreatitis but rarely with an increasing trend of cardiac
markers. We describe the case of a 70-year-old female who presented with one
such conundrum. Our patient had typical presentation of acute pancreatitis but had
dynamic ECG changes with markedly increased cardiac markers. Subsequentlyafter initiation of treatment for acute pancreatitis and observation for the course of
several days, the ECG returned to the baseline as pre admission. This substantiates
the fact that acute pancreatitis can mimic both biochemical and electrical
manifestation of an acute coronary syndrome. Thus, Emergency Physicians should
consider acute pancreatitis as a possible diagnosis in patients who present with
abnormal electrocardiograms. |
| first_indexed | 2024-03-06T04:44:53Z |
| format | Article |
| id | ukm.eprints-20622 |
| institution | Universiti Kebangsaan Malaysia |
| language | English |
| last_indexed | 2024-03-06T04:44:53Z |
| publishDate | 2018 |
| publisher | Pusat Perubatan Universiti Kebangsaan Malaysia |
| record_format | dspace |
| spelling | ukm.eprints-206222022-11-28T13:13:29Z http://journalarticle.ukm.my/20622/ Acute pancreatitis with electrocardiographic changes mimicking acute coronary syndrome : a diagnostic conundrum Shamala Nair, Faizal AH, Electrocardiographic abnormalities can be associated with acute pancreatitis. However, data regarding the actual causative factor still remains elusive. Many previous cases were reported on non-specific ST and T wave abnormalities concurrent with acute pancreatitis but rarely with an increasing trend of cardiac markers. We describe the case of a 70-year-old female who presented with one such conundrum. Our patient had typical presentation of acute pancreatitis but had dynamic ECG changes with markedly increased cardiac markers. Subsequentlyafter initiation of treatment for acute pancreatitis and observation for the course of several days, the ECG returned to the baseline as pre admission. This substantiates the fact that acute pancreatitis can mimic both biochemical and electrical manifestation of an acute coronary syndrome. Thus, Emergency Physicians should consider acute pancreatitis as a possible diagnosis in patients who present with abnormal electrocardiograms. Pusat Perubatan Universiti Kebangsaan Malaysia 2018-12 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/20622/1/21_ms0229_pdf_34101.pdf Shamala Nair, and Faizal AH, (2018) Acute pancreatitis with electrocardiographic changes mimicking acute coronary syndrome : a diagnostic conundrum. Medicine & Health, 13 (2). pp. 195-201. ISSN 2289-5728 https://www.medicineandhealthukm.com/toc/13/2 |
| spellingShingle | Shamala Nair, Faizal AH, Acute pancreatitis with electrocardiographic changes mimicking acute coronary syndrome : a diagnostic conundrum |
| title | Acute pancreatitis with electrocardiographic changes mimicking acute coronary syndrome : a diagnostic conundrum |
| title_full | Acute pancreatitis with electrocardiographic changes mimicking acute coronary syndrome : a diagnostic conundrum |
| title_fullStr | Acute pancreatitis with electrocardiographic changes mimicking acute coronary syndrome : a diagnostic conundrum |
| title_full_unstemmed | Acute pancreatitis with electrocardiographic changes mimicking acute coronary syndrome : a diagnostic conundrum |
| title_short | Acute pancreatitis with electrocardiographic changes mimicking acute coronary syndrome : a diagnostic conundrum |
| title_sort | acute pancreatitis with electrocardiographic changes mimicking acute coronary syndrome a diagnostic conundrum |
| url | http://journalarticle.ukm.my/20622/1/21_ms0229_pdf_34101.pdf |
| work_keys_str_mv | AT shamalanair acutepancreatitiswithelectrocardiographicchangesmimickingacutecoronarysyndromeadiagnosticconundrum AT faizalah acutepancreatitiswithelectrocardiographicchangesmimickingacutecoronarysyndromeadiagnosticconundrum |