Major ST-segment elevation hiding acute severe pancreatitis
A 12-lead ECG showed a sinus rhythm with narrow QRS complexes (short QRS duration was especially visible in lead V1) and a major ST-segment elevation in the infero-antero-lateral territory with a mirror image in leads aVR and aVL (Fig. 1A). Standard laboratory workup showed elevated myocardial necro...
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| Veröffentlicht in: | The American journal of emergency medicine 2010, Vol.28 (1), p.116.e1-116.e3 |
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| creator | Clementy, Nicolas, MD Genee, Olivier, MD Fichet, Jerome, MD Mitchell-Heggs, Laurens, MD Fremont, Benoit, MD Banayan, Jonathan, MD Charbonnier, Bernard, MD Perrotin, Dominique, MD Mercier, Emmanuelle, MD |
| description | A 12-lead ECG showed a sinus rhythm with narrow QRS complexes (short QRS duration was especially visible in lead V1) and a major ST-segment elevation in the infero-antero-lateral territory with a mirror image in leads aVR and aVL (Fig. 1A). Standard laboratory workup showed elevated myocardial necrosis markers (creatine phosphokinase [CPK], 7091 IU; troponin I, 6.6 ng/mL), normal serum potassium (4.5 mmol/L) and electrolytes, and acute renal failure (serum creatinine, 339 μmol/L). [...]she was rapidly transferred to the cardiology department to undergo a primary coronary angiography. |
| doi_str_mv | 10.1016/j.ajem.2009.03.015 |
| format | Article |
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Standard laboratory workup showed elevated myocardial necrosis markers (creatine phosphokinase [CPK], 7091 IU; troponin I, 6.6 ng/mL), normal serum potassium (4.5 mmol/L) and electrolytes, and acute renal failure (serum creatinine, 339 μmol/L). [...]she was rapidly transferred to the cardiology department to undergo a primary coronary angiography.</description><identifier>ISSN: 0735-6757</identifier><identifier>EISSN: 1532-8171</identifier><identifier>DOI: 10.1016/j.ajem.2009.03.015</identifier><identifier>PMID: 20006227</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Acute Disease ; Aged ; Cardiology ; Cardiovascular disease ; Diagnosis, Differential ; Echocardiography ; Electrocardiography ; Emergency ; Emergency medical care ; Female ; Heart attacks ; Humans ; Medical imaging ; Myocardial Infarction - diagnosis ; Pancreatitis, Alcoholic - blood ; Pancreatitis, Alcoholic - diagnosis ; Tomography, X-Ray Computed</subject><ispartof>The American journal of emergency medicine, 2010, Vol.28 (1), p.116.e1-116.e3</ispartof><rights>Elsevier Inc.</rights><rights>2010 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c353t-abac2442edb1d081a8df085ef81af066826cd46015a3a3f240717e06565f667c3</citedby><cites>FETCH-LOGICAL-c353t-abac2442edb1d081a8df085ef81af066826cd46015a3a3f240717e06565f667c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1030918355?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,778,782,3539,4012,27910,27911,27912,45982,64370,64374,72224</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20006227$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Clementy, Nicolas, MD</creatorcontrib><creatorcontrib>Genee, Olivier, MD</creatorcontrib><creatorcontrib>Fichet, Jerome, MD</creatorcontrib><creatorcontrib>Mitchell-Heggs, Laurens, MD</creatorcontrib><creatorcontrib>Fremont, Benoit, MD</creatorcontrib><creatorcontrib>Banayan, Jonathan, MD</creatorcontrib><creatorcontrib>Charbonnier, Bernard, MD</creatorcontrib><creatorcontrib>Perrotin, Dominique, MD</creatorcontrib><creatorcontrib>Mercier, Emmanuelle, MD</creatorcontrib><title>Major ST-segment elevation hiding acute severe pancreatitis</title><title>The American journal of emergency medicine</title><addtitle>Am J Emerg Med</addtitle><description>A 12-lead ECG showed a sinus rhythm with narrow QRS complexes (short QRS duration was especially visible in lead V1) and a major ST-segment elevation in the infero-antero-lateral territory with a mirror image in leads aVR and aVL (Fig. 1A). Standard laboratory workup showed elevated myocardial necrosis markers (creatine phosphokinase [CPK], 7091 IU; troponin I, 6.6 ng/mL), normal serum potassium (4.5 mmol/L) and electrolytes, and acute renal failure (serum creatinine, 339 μmol/L). 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| subjects | Acute Disease Aged Cardiology Cardiovascular disease Diagnosis, Differential Echocardiography Electrocardiography Emergency Emergency medical care Female Heart attacks Humans Medical imaging Myocardial Infarction - diagnosis Pancreatitis, Alcoholic - blood Pancreatitis, Alcoholic - diagnosis Tomography, X-Ray Computed |
| title | Major ST-segment elevation hiding acute severe pancreatitis |
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