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Acute Pancreatitis Simulating Myocardial Infarction in the Electrocardiogram

Ann Intern Med. 1963;59(5_Part_1):730-732. doi:10.7326/0003-4819-59-5-730
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It 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 REPORT: A 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


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