Electrocardiographic changes and importance of repolarization changes in cases with acute pancreatitis

Sokmen, Mehmet; Bugdaci, Mehmet Sait; Öztekin, Erkan

doi:10.4318/tjg.2011.0218

Cited by 3 publications

(3 citation statements)

References 25 publications

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“…En la literatura, los cambios asociados a otros procesos no isquémicos se describen como cambios no específicos, principalmente presentes en la onda T y el segmento ST. A pesar de ser reportados como hallazgos no específicos, la repolarización precoz es un parámetro pronóstico actualmente reconocido; si bien en un principio era conocida como una condición benigna, hoy se conoce su asociación con arritmias ventriculares malignas y muerte súbita, encontrándose hasta en el 60% de los pacientes con taquicardia ventricular [7][8][9] .…”

Section: Discusión Y Revisión De La Literaturaunclassified

Elevaci�n del ST en curso de pancreatitis aguda. Infarto agudo

Vela-Vizcaíno,

Canché-Bacab,

Elías-López

et al. 2023

REMQ

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El infarto agudo del miocardio es la principal causa de morbilidad y mortalidad en nuestro país. El electrocardiograma, herramienta inicial para el diagnóstico, puede mostrar falsos positivos. Se presenta el caso de una mujer de 44 años con pancreatitis aguda moderadamente grave con clínica típica de dolor epigástrico, electrocardiográficamente desnivel positivo significativo del ST en región posteroinferior, angiografía sin lesiones coronarias ateroesclerosas ni miocardiopatía por estrés. Se han descrito alteraciones electrocardiográficas asociadas a patología gastrointestinal aguda, pero este patrón con desnivel positivo que simula un infarto inferior es poco frecuente (< 3.1%) y de relevancia en el diagnóstico diferencial.

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Section: Discusión Y Revisión De La Literaturaunclassified

Elevaci�n del ST en curso de pancreatitis aguda. Infarto agudo

Vela-Vizcaíno,

Canché-Bacab,

Elías-López

et al. 2023

REMQ

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“…[23] ECG changes like non-specific ST-T changes, ST segment elevation, and sinus tachycardia are linked with SAP-related electrolyte (calcium, phosphate, and magnesium) abnormalities. [2] To the best of our knowledge and literature search, we could not find any report of SAP with myocardial calcification or structural cardiac abnormalities.…”

Section: Commentsmentioning

confidence: 99%

“…Interestingly, at present, no definitive therapies are available for myocardial calcification, other than cardiac transplant. [2]…”

Section: Commentsmentioning

confidence: 99%

A case of extensive cardiac calcification

et al. 2013

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QT interval changes and reversibility of QT dispersion in patients with acute pancreatitis

Bugdaci¹,

Tüzün²,

Koca³

et al. 2015

Turk J Gastroenterol

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Background/Aims: QT dispersion is a sign of heterogeneity of ventricular myocardial wall and is associated with cardiac mortality and morbidity. Data regarding with the persistence of QT interval changes in cases with acute pancreatitis (AP) that required clinical follow-up, are insufficient. Therefore, in this study, we aimed to evaluate the QT interval changes during attack and after remission of the disease, in cases with AP. Materials and Methods: The cases admitted to the Gastroenterohepatology Clinic with the diagnosis of AP were included into the study. Ranson's score parameters, electrocardiography and echocardiography of all patients included into the study were evaluated. Electrocardiographic changes were evaluated two times, during attack and after remission of the disease. Results: A total of 134 subjects (F/M:54/80, 41/59%) diagnosed as AP were included into the study. Seventy two (54%) of the AP cases included into the study were biliary, 32 (24%) were alcohol dependant, 19 (14%) were idiopathic, 9 (7%) were hyperlipidemic and 2 (1%) were ERCP related cases. Mean age of the patents was 57.7±15 years old (range: 19-82 years old) and mean Ranson's score was 3.8±1.9 (range: 1-7), according to the numerical scoring system. We compared QT interval changes during the attack and after the remission of AP and found significant increase in QT dispersion levels during acute attack of AP (p<0,001). Conclusion:The most common electrocardiographic changes in AP patients are QT interval changes including QT dispersion. QT dispersion which was emerged during the attack recovered after the remission of the disease.

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Electrocardiographic changes and importance of repolarization changes in cases with acute pancreatitis

Abstract: Acute pancreatitis (AP) is a common inflammatory disorder of the pancreas with a rising incidence in the western world (1-3). High morbidity and mortality can be seen in AP patients due to systemic complications and multi-organ failure. Cardiac involvement has an important place during

Cited by 3 publications

References 25 publications

Elevaci�n del ST en curso de pancreatitis aguda. Infarto agudo

Elevaci�n del ST en curso de pancreatitis aguda. Infarto agudo

A case of extensive cardiac calcification

QT interval changes and reversibility of QT dispersion in patients with acute pancreatitis

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