Acute cholecystitis and myocardial infarction: a case study with coronary involvement

Meelu, Omar A.; Baber, Usman; Theodoropoulos, Kleanthis; Mennuni, Marco; Kini, Annapoorna; Sharma, Samin K.

doi:10.1002/ccr3.621

Cited by 5 publications

(2 citation statements)

References 10 publications

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“…In most cases, a relationship between cardiovascular diseases and gallbladder edema has been reported. 18 In our series, we only found two patients without surgical treatment in whom acute infarction occurred, one of them died from acute transmural myocardial infarction, and the other patient presented sequel of congestive heart failure. In addition, one of our patients presented fungal pneumonia.…”

Section: Discussionmentioning

confidence: 74%

Manejo del edema de vesícula biliar confundido como colecistitis, en el departamento de urgencias

Martínez¹

2021

Cirujano General

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Section: Discussionmentioning

confidence: 74%

Manejo del edema de vesícula biliar confundido como colecistitis, en el departamento de urgencias

Martínez¹

2021

Cirujano General

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“…Also, gall bladder distention may lead to elevated blood pressure and increased heart rate along with increased renin secretion [ 14 ]. The systemic inflammation associated with septicemia has also been claimed to be responsible for altered cTnI as well as ECG changes [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Acute Cholecystitis Leading to Elevated High-Sensitive Cardiac Troponin I in a Young Female Without Any Cardiac Ailment: A Rare Case Presentation

Amle¹,

Patil²,

Sakarde³

et al. 2022

Cureus

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Cardiac troponin I (cTnI) is regarded as a gold standard investigation for the diagnosis of acute myocardial infarction (AMI). However, cTnI may be elevated in certain non-AMI cardiac conditions and even in certain noncardiac conditions.We report a case of a young female presenting with symptoms suggestive of acute cholecystitis with elevated high-sensitive cardiac troponin I (hs-cTnI). The patient developed acute chest pain during the hospital stay. On evaluation, quantitative assay for hs-cTnI was found to be elevated; however, other markers of cardiac damage such as creatinine kinase-MB (CK-MB), qualitative cTnI by card test, and even echocardiogram (ECG) were found to be negative. As the patient was a young female with no significant history of coronary diseases, the spurious elevation of hs-TnI due to a noncardiac ailment was suspected. The patient was managed with minimal cardiological management till AMI was excluded. The hs-cTnI levels returned to normal post-cholecystectomy.A patient presenting with symptoms suggestive of cholecystitis and elevated hs-cTnI must be carefully evaluated before resorting to any invasive management for AMI. In most cases, hs-cTnI will return to normal post-cholecystectomy.

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Differential diagnosis of the association of gastrointestinal symptoms and ST segment elevation, in the absence of chest pain

Jolobe

2021

The American Journal of Emergency Medicine

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Acute cholecystitis and myocardial infarction: a case study with coronary involvement

Cited by 5 publications

References 10 publications

Manejo del edema de vesícula biliar confundido como colecistitis, en el departamento de urgencias

Manejo del edema de vesícula biliar confundido como colecistitis, en el departamento de urgencias

Acute Cholecystitis Leading to Elevated High-Sensitive Cardiac Troponin I in a Young Female Without Any Cardiac Ailment: A Rare Case Presentation

Differential diagnosis of the association of gastrointestinal symptoms and ST segment elevation, in the absence of chest pain

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