Case Report
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A case of acute pancreatitis complicated by acute coronary syndrome

Year 2025, Volume: 11 Issue: 6, 1 - 14
https://doi.org/10.18621/eurj.1663642

Abstract

An inflammatory condition affecting the pancreatic parenchyma is called acute pancreatitis. Alcohol consumption and gallstones are the most frequent etiological factors. Patients with acute pancreatitis can appear clinically in a variety of ways. While individuals with acute pancreatitis may experience ECG abnormalities that resemble acute myocardial infarction, it is uncommon for acute pancreatitis to coexist with actual acute myocardial infarction. Our goal was to present a case of acute pancreatitis exacerbated by acute coronary syndrome. The patient arrived at the emergency room with 60 minutes of epigastric abdominal pain that was prominent there and radiating to the back.

Ethical Statement

The authors confirm that written consent for the submission and publication of this case, including images, was obtained from the patient in line with COPE guidance.

References

  • 1. Murphy JO, Mehigan BJ, Keane FB. Acute pancreatitis. Hosp Med. 2002;63(8):487-492. doi: 12968/HOSP.2002.63.8.1970.
  • 2. Yegneswaran B, Kostis JB, Pitchumoni CS. Cardiovascular manifestations of acute pancreatitis. J Crit Care. 2011;26(2):225.e11-8. doi: 10.1016/J.JCRC.2010.10.013.
  • 3. Grendell J H. Acute pancreatitis. In Current Diagnosis and Treatment in gastroenterology. 2nd ed., New York: Lange Medical Boks/Mc Graw-Hill; 2003, pp. 489-495.
  • 4. Avunduk C. Manual of Gastroenterology. Philedelphia: Lippincott Williams and Wilkins.; 2002.
  • 5. Korantzopoulos P, Pappa E, Dimitroula V, et al. ST-segment elevation pattern and myocardial injury induced by acute pancreatitis. Cardiology 2005;103(3):128-130. doi: 10.1159/000083438.
  • 6. Aundhakar S, Mahajan S, Agarwal A, Mhaskar D. Acute pancreatitis associated with elevated troponin levels: whether to thrombolyse or not? Ann Med Health Sci Res. 2013;3(Suppl 1):S50-2. doi: 10.4103/2141-9248.121225.
  • 7. Kellner A, Robertson T. Selective necrosis of cardiac and skeletal muscle induced experimentally by means of proteolytic enzyme solutions given intravenously. J Exp Med. 1954;99(4):387-404. doi: 10.1084/jem.99.4.387.
  • 8. Lieberman Js, Taylor A, Wright Is. The effect of intravenous trypsin administration on the electrocardiogram of the rabbit. Circulation. 1954;10(3):338-42. doi: 10.1161/01.cir.10.3.338.
  • 9. Wang K, Asinger RW, Marriott HJ. ST-segment elevation in conditions other than acute myocardial infarction. N Engl J Med. 2003;349(22):2128-2135. doi: 10.1056/NEJMra022580.

Year 2025, Volume: 11 Issue: 6, 1 - 14
https://doi.org/10.18621/eurj.1663642

Abstract

References

  • 1. Murphy JO, Mehigan BJ, Keane FB. Acute pancreatitis. Hosp Med. 2002;63(8):487-492. doi: 12968/HOSP.2002.63.8.1970.
  • 2. Yegneswaran B, Kostis JB, Pitchumoni CS. Cardiovascular manifestations of acute pancreatitis. J Crit Care. 2011;26(2):225.e11-8. doi: 10.1016/J.JCRC.2010.10.013.
  • 3. Grendell J H. Acute pancreatitis. In Current Diagnosis and Treatment in gastroenterology. 2nd ed., New York: Lange Medical Boks/Mc Graw-Hill; 2003, pp. 489-495.
  • 4. Avunduk C. Manual of Gastroenterology. Philedelphia: Lippincott Williams and Wilkins.; 2002.
  • 5. Korantzopoulos P, Pappa E, Dimitroula V, et al. ST-segment elevation pattern and myocardial injury induced by acute pancreatitis. Cardiology 2005;103(3):128-130. doi: 10.1159/000083438.
  • 6. Aundhakar S, Mahajan S, Agarwal A, Mhaskar D. Acute pancreatitis associated with elevated troponin levels: whether to thrombolyse or not? Ann Med Health Sci Res. 2013;3(Suppl 1):S50-2. doi: 10.4103/2141-9248.121225.
  • 7. Kellner A, Robertson T. Selective necrosis of cardiac and skeletal muscle induced experimentally by means of proteolytic enzyme solutions given intravenously. J Exp Med. 1954;99(4):387-404. doi: 10.1084/jem.99.4.387.
  • 8. Lieberman Js, Taylor A, Wright Is. The effect of intravenous trypsin administration on the electrocardiogram of the rabbit. Circulation. 1954;10(3):338-42. doi: 10.1161/01.cir.10.3.338.
  • 9. Wang K, Asinger RW, Marriott HJ. ST-segment elevation in conditions other than acute myocardial infarction. N Engl J Med. 2003;349(22):2128-2135. doi: 10.1056/NEJMra022580.
There are 9 citations in total.

Details

Primary Language English
Subjects Cardiology
Journal Section Case Reports
Authors

Alkame Akgümüş 0000-0002-4286-8997

Ali Duygu 0000-0001-6849-8894

Early Pub Date June 11, 2025
Publication Date October 10, 2025
Submission Date March 23, 2025
Acceptance Date April 28, 2025
Published in Issue Year 2025 Volume: 11 Issue: 6

Cite

AMA Akgümüş A, Duygu A. A case of acute pancreatitis complicated by acute coronary syndrome. Eur Res J. 11(6):1-14. doi:10.18621/eurj.1663642

e-ISSN: 2149-3189 


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