Transient ST-segment elevation during acute pancreatitis

Published: 20 February 2016
Author(s): Ehab El-Khabiry, Hesham R. Omar, Enrico M. Camporesi
Section: Internal Medicine Flashcard

A 27-year-old-woman with history of insulin dependent diabetes mellitus, hypertriglyceridemia and recent laparoscopic cholecystectomy presented to the hospital with severe upper abdominal pain. Initial laboratory workup was pertinent for a lipase of 1163units/L, triglyceride level of 5680mg/dL, random blood sugar of 321g/dL, anion gap of 19 without acetone in the blood and the liver and kidney functions were normal. Abdominal CT scan was consistent with acute pancreatitis. An electrocardiogram (ECG) revealed ST-segment elevation (STE) in V4–V6 without pathological Q waves or reciprocal ST-segment depression (STD).