Edward T. Ryan, MD; Peter H. Pak, MD; Roman W. DeSanctis, MD
Acute Cholecystitis, pancreatitis, myocarditis, and pneumonia have each been associated with transient electrocardiographic changes consistent with myocardial ischemia or infarction (1-5). Although these changes usually take the form of T-wave inversions or ST-segment depressions, rare reports of ST-segment elevations do exist (1-3). We describe a patient with persistent and marked anterior ST-segment elevations without evidence of obstruction or spasm of coronary arteries, pericarditis, or myocardial cell damage. These changes resolved rapidly after removal of an acutely inflamed gallbladder. This is the first report of such ST-segment elevations to include angiographic data.
A previously healthy 46-year-old man presented to
Ryan ET, Pak PH, DeSanctis RW. Myocardial Infarction Mimicked by Acute Cholecystitis. Ann Intern Med. ;116:218–220. doi: 10.7326/0003-4819-116-3-218
Download citation file:
Published: Ann Intern Med. 1992;116(3):218-220.
Acute Coronary Syndromes, Biliary Disorders, Cardiology, Coronary Heart Disease, Emergency Medicine.
Copyright © 2018 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use