Evidence map›Paper›PMID 31543754›Full record

ArticleCase reports in gastroenterology

Acute Pancreatitis Masquerading as Inferior Wall Myocardial Infarction: A Review.

Elliot S Yu, Joel J Lange, Apoorv Broor, Kesavan Kutty

Abstract readCase Reports
In one paragraph

Article in Case reports in gastroenterology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Article
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  13. Case Report: Abnormal ECG in a Patient With Acute Pancreatitis.Frontiers in cardiovascular medicine · 2021
    Article
  14. Article
  15. Review
  16. Rare Case of Acute Pancreatitis Presenting With ST-Segment Elevation.Journal of investigative medicine high impact case reports
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Elliot S YuDepartment of Internal Medicine, The Hub for Collaborative Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Joel J LangeSchool of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Apoorv BroorAscension St. Joseph Medical Center, and Medical College of Wisconsin Affiliated Hospitals at Ascension St. Joseph, Milwaukee, Wisconsin, USA.
Kesavan KuttyDepartment of Internal Medicine, The Hub for Collaborative Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A rare presentation of acute pancreatitis is with electrocardiographic (ECG) changes that mimic myocardial ischemia. We present a report of a patient that presented with hemodynamic instability and new ECG changes of ST segment elevations in contiguous leads II, III, and aVF mimicking an inferior wall myocardial infarction. Emergent coronary angiography showed no significant coronary obstruction, but it was followed by a left-sided hemiplegia with radiographic evidence of diffuse embolic stroke. The patient was later found to have an underlying diagnosis of pancreatitis. Additional history that later became available indicated a history of severe acute pancreatitis treated elsewhere a few months prior to the current admission. We present the first comprehensive review of the literature comprising 36 total cases with pancreatitis masquerading as acute myocardial infarction, with inferior wall STEMI pattern being the most frequent. We present this case to highlight the diagnostic dilemma posed by this masquerade of a high acuity myocardial infarction and to highlight alternative diagnoses to be considered in such clinical circumstances.

Indexed as

Cardiac catheterizationCerebral vascular accidentCoronary angiographyMyocardial infarctionPancreatitisST elevationStroke

Identifiers

PMID31543754
PMCPMC6738212

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.