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Category: Volume 06 Issue 12 December 2018
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Title: Acute Pancreatitis Complicated by true non ST Elevation Myocardial Infarction- A Rare Case

Authors: Manju, V.D.Dogra, Gopal Singh, Ankita

 DOI: https://dx.doi.org/10.18535/jmscr/v6i12.90

Abstract

Acute pancreatitis is an inflammatory condition with different spectrum of local and systemic complications. Acute myocardial infarction is rarely reported complication of acute pancreatitis. We report a case of 56 year old female presenting with acute pancreatitis complicated by true non ST elevation acute myocardial infarction (AMI). On investigation there was raised serum amylase, lipase and cardiac troponin. Electrocardiogram (ECG) was suggestive anterolateral wall ischemia. Contrast computerized tomography abdomen revealed acute severe pancreatitis. In acute pancreatitis, Nonspecific ECG changes can occur. The diagnosis of true myocardial infarction in setting of acute pancreatitis can be challenging even using ECGs, 2D echocardiography, cardiac biomarkers and coronary angiography. Choice of revascularization therapy and use of antiplatelet agents and anticoagulant therapy is also challenging. Decision making regarding the management of such a patient is also critical.

Keywords: Acute pancreatitis, Acute coronary syndrome, Acute myocardial infarction, Non STEMI and ECG abnormalities.

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Corresponding Author

Dr Gopal Singh, MD Anesthesia

Department of Anaesthesia Zonal Hospital, Dharamshala H.P., India