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Myocardial Infarction Mimicked by Acute Cholecystitis

Edward T. Ryan, MD; Peter H. Pak, MD; and Roman W. DeSanctis, MD
[+] Article, Author, and Disclosure Information

Requests for Reprints: Edward T. Ryan, MD, Division of Infectious Diseases, Gray 5, Massachusetts General Hospital, Fruit Street, Boston, MA 02114.

Current Author Addresses: Dr. Ryan: Division of Infectious Diseases, Gray 5, Massachusetts General Hospital, Fruit Street, Boston, MA 02114.

Dr. Pak: Department of Internal Medicine, Massachusetts General Hospital, Fruit Street, Boston, MA 02114.

Dr. DeSanctis: 15 Parkman Street, Suite 467, Boston, MA 02114.

Ann Intern Med. 1992;116(3):218-220. doi:10.7326/0003-4819-116-3-218
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This excerpt has been provided in the absence of an abstract.

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.

Case Report: A previously healthy 46-year-old man presented to


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