Open AccessAcute Necrotizing Pancreatitis Complicated With ST Elevation Acute Myocardial Infarction: A Case Report and Literature Review
Author(s) -
Hsu PoChao,
Lin TsungHsien,
Su HoMing,
Lin ZuYau,
Lai WenTer,
Sheu ShengHsiung
Publication year - 2010
Publication title -
the kaohsiung journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.439
H-Index - 36
eISSN - 2410-8650
pISSN - 1607-551X
DOI - 10.1016/s1607-551x(10)70029-2
Subject(s) - medicine , acute pancreatitis , necrotizing pancreatitis , elevation (ballistics) , myocardial infarction , pancreatitis , cardiology , intensive care medicine , geometry , mathematics
Acute pancreatitis complicated with acute myocardial infarction has rarely been reported and the precise mechanisms of myocardial injury remain unclear. We report a 49‐year‐old man presenting with epigastralgia who had been hospitalized for acute necrotizing pancreatitis, and who subsequently developed ST elevation myocardial infarction. The patient eventually died because of severe heart failure and complications of progressive necrotizing pancreatitis. Although a standard management protocol for these patients has not yet been developed, administration of thrombolytic agents may cause severe complications based on the limited case reports already published. We suggest that coronary angiography and further interventions such as angioplasty and possibly stenting should be performed in these cases.