Acute Pancreatitis – Mime of Inferior MI
Report:
Sinus tachycardia 132/min
Probable acute inferior and anterior (V4) infarction
Reciprocal ST segment depression in aVL
Comment:
In a patient with acute pancreatitis the likelihood of acute infarction remains remote. An ECG suggesting it is most likely a pseudoinfarction, with normal epicardial coronary arteries, even if a regional wall motion abnormality can be documented212. One such patient received thrombolysis, but survived213.
In this case, the ECG normalised within 2 days (Fig 280a below). There was no elevation of any cardiac biomarkers.
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