TY - JOUR
T1 - Necrotizing acute pancreatitis with electrocardiogram changes masquerading acute coronary syndrome
AU - Kumar, Nirdosh
AU - Waheed, Shahan
AU - Siddiqui, Amnah
AU - Tamiz, Ahmed
N1 - Publisher Copyright:
© 2023 The Author(s). Published by Oxford University Press. All rights reserved. For Permissions, please email: [email protected].
PY - 2023/6/1
Y1 - 2023/6/1
N2 - Acute pancreatitis (AP) refers to the acute inflammation of the pancreas; however, if there is concurrent necrosis, it is called necrotizing acute pancreatitis (NAP). The diagnosis is sometimes difficult because it might mimic acute coronary syndrome (ACS). We report a case of a 28-year-old male, who presented to the emergency department (ED) with severe epigastric pain, shortness of breath and diaphoresis for 4-5 h. The initial electrocardiogram (ECG) showed marked sinus bradycardia with an incomplete left bundle branch block. Considering the clinical presentation and ECG changes, he was managed as ACS and was rushed to catheterization laboratory for a coronary angiogram, which was reported normal. Subsequently, his serum pancreatic enzymes were elevated, and computed tomography of the abdomen showed NAP. In ED settings, it is difficult to differentiate between the two, particularly when AP presents with ECG manifestations masquerading as ACS.
AB - Acute pancreatitis (AP) refers to the acute inflammation of the pancreas; however, if there is concurrent necrosis, it is called necrotizing acute pancreatitis (NAP). The diagnosis is sometimes difficult because it might mimic acute coronary syndrome (ACS). We report a case of a 28-year-old male, who presented to the emergency department (ED) with severe epigastric pain, shortness of breath and diaphoresis for 4-5 h. The initial electrocardiogram (ECG) showed marked sinus bradycardia with an incomplete left bundle branch block. Considering the clinical presentation and ECG changes, he was managed as ACS and was rushed to catheterization laboratory for a coronary angiogram, which was reported normal. Subsequently, his serum pancreatic enzymes were elevated, and computed tomography of the abdomen showed NAP. In ED settings, it is difficult to differentiate between the two, particularly when AP presents with ECG manifestations masquerading as ACS.
UR - https://www.scopus.com/pages/publications/85164431463
U2 - 10.1093/omcr/omad055
DO - 10.1093/omcr/omad055
M3 - Article
AN - SCOPUS:85164431463
SN - 2053-8855
VL - 2023
JO - Oxford Medical Case Reports
JF - Oxford Medical Case Reports
IS - 6
M1 - omad055
ER -
