Acute Pancreatitis Complicated By Acute ST-Elevation Myocardial Infarction- A Case Report

Öz

Introduction: Acute pancreatitis complicated by acute ST-elevation myocardial infarction (STEMI) is a rare clinical entity. It poses a diagnostic and therapeutic challenge to emergency physician.

Case Report: We report a 86-year-old lady who presented with both chest and abdominal pain. Electrocardiogram showed acute anterior myocardial infarction and laboratory results showed acute pancreatitis with elevated amylase levels. The patient was hemodynamically unstable despite resuscitation. She succumbed to her condition whilst she was being treated in the emergency department.

Conclusion: Although there are established treatment guidelines for acute myocardial infarction and acute pancreatitis, it requires clinical judgement to ensure the treatment of one diagnosis does not worsen the condition of the other.

Anahtar Kelimeler

• acute pancreatitis,acute ST elevation,myocardial infarction

Kaynakça

1. 1. Liu Jun, Su Chen. Acute myocardial infarction complicated with acute pancreatitis: report of 10 cases. JACC. 2014; 64(16):136.
2. 2. Vasantha Kumar A, Mohan Reddy G, Anirudh Kumar A. Acute pancreatitis complicated by acute myocardial infarction – a rare association. Indian Heart J. 2013; 65(4): 474-7.
3. 3. Hsu PC, Lin TH, Su HM, Lin ZY, Lai WT, Sheu SH. Acute necrotizing pancreatitis complicated with ST elevation acute myocardial infarction: a case report and literature review. Kaohsiung J Med Sci. 2010; 26(4): 200-5.
4. 4. Tenner S, Bailie J, DeWitt J, Vege SS. American College of Gastroenterology Guideline: Management of acute pancreatitis. AM J Gastroenterol. 2013; 108(9): 1400-15.
5. 5. Lieberman JS, Taylor A, Wright IS. The effect of intravenous trypsin administration on the electrocardiogram of the rabbit. Circulation. 1954; 10: 338-42.