pancreatitis with electrocardiographic changes mimicking acute myocardial infarction

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ID: 147572
2001
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Abstract
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.
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khairy2001canadianpancreatitis Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Paul Khairy;Pierre Marsolais
Journal indian journal of pharmacology
Year 2001
DOI
10.1155/2001/604386
URL
http://dx.doi.org/10.1155/2001/604386
Keywords
Gastroenterology diseases of the digestive system

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