Acute Pancreatitis Simulating Myocardial Infarction in the Electrocardiogram
Authors: MORRIS C. FULTON
Journal: Annals of Internal Medicine (1963)

Case Studies1 November 1963Acute Pancreatitis Simulating Myocardial Infarction in the ElectrocardiogramMORRIS C. FULTON, M.D., HENRY J. L. MARRIOTT, M.D.MORRIS C. FULTON, M.D.Search for more papers by this author, HENRY J. L. MARRIOTT, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-59-5-730 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIt is well known that acute abdominal disease can alter the electrocardiogram in ways that mimic myocardial ischemia. It is not so widely known that the acute abdomen can simulate myocardial infarction. The following case illustrates that acute pancreatitis can produce electrocardiographic changes generally regarded as diagnostic of myocardial infarction.CASE REPORTA 61-year-old gouty white accountant drank a bowl of soup on April 2, 1963, promptly developed severe upper abdominal pain and vomited once. Three hours later he was admitted to the King Edward VII Memorial Hospital in Bermuda. He was known to have had mild hypertension for years...References1. GOTTESMANCASTENBELLER JEA: Changes in the electrocardiogram produced by acute pancreatitis. JAMA 123: 892, 1943. CrossrefGoogle Scholar2. BAUERLEINSTOBBE TCLH: Acute pancreatitis simulating myocardial infarction with characteristic electrocardiographic changes. Gastroenterology 27: 861, 1954. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: MORRIS C. FULTON, M.D.; HENRY J. L. MARRIOTT, M.D.Affiliations: Tampa, FloridaFrom the Medical Service, King Edward VII Memorial Hospital, Bermuda, and The Cardiology Center, Tampa General Hospital, Tampa, Florida.Requests for reprints should be addressed to Henry J. Marriott, M.D., The Cardiology Center, Tampa General Hospital, Tampa, Florida. 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