Association of Acute Pancreatitis and Myocardial Infarction: Is the Heart Victim or Culprit? - A Case Report and Review of the Literature.

Autor: Mouedder F; Cardiology, Mohammed I University/Mohammed VI University Hospital/Epidemiological Laboratory of Clinical Research and Public Health, Oujda, MAR., El Ouazzani J; Cardiology, Mohammed I University/Mohammed VI University Hospital/Epidemiological Laboratory of Clinical Research and Public Health, Oujda, MAR., Elouafi N; Cardiology, Mohammed I University/Mohammed VI University Hospital/Epidemiological Laboratory of Clinical Research and Public Health, Oujda, MAR., Bazid Z; Cardiology, Mohammed I University/Mohammed VI University Hospital/Epidemiological Laboratory of Clinical Research and Public Health, Oujda, MAR.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2020 Sep 28; Vol. 12 (9), pp. e10697. Date of Electronic Publication: 2020 Sep 28.
DOI: 10.7759/cureus.10697
Abstrakt: Acute pancreatitis can be associated with electrical changes mimicking acute coronary syndrome with normal coronary arteries. The association of acute pancreatitis with ST-segment elevation and elevated cardiac enzymes has been reported in few observations. The pathophysiological mechanisms of this association remain poorly understood. We report the case of a 63-year-old woman presenting with chest pain, changes in the electrocardiogram and elevated cardiac enzymes with normal coronary arteries associated with acute pancreatitis. Stress cardiomyopathy or Takotsubo syndrome associated with acute pancreatitis was the most likely diagnosis in our case. Stress cardiomyopathy should be considered a possibility in case of patients with acute pancreatitis who present with clinical signs suggestive of acute coronary syndrome.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2020, Mouedder et al.)
Databáze: MEDLINE