Acute pancreatitis mimicking myocardial ischemia: A case report and a review of the literature

In literature, acute pancreatitis has been shown to be associated with a wide range of electrocardiographic changes. In the present report, we describe a case of a young woman who presented to our emergency room with chest pain and electrocardiographic alterations suggestive of myocardial ischemia; laboratory data showed elevated amylase and lipase levels. A computed tomography (CT) scan of the abdomen confi rmed the diagnosis of acute pancreatitis. In the next day, she repeated the electrocardiogram, which showed a regression of the ST-segment depression. T-waves changes and ST-segment depression are common in acute pancreatitis and, therefore, emergency physicians should consider acute pancreatitis in the diff erential diagnosis of patients presenting with chest pain and electrocardiographic changes. Affi liations: