November 12, 2014
Notes: Attwell, Augustin
Clin Gastroenterol Hepatol. 2014 Jul;12(7):1196-8. doi: 10.1016/j.cgh.2013.11.037. Epub 2013 Dec 17.
Author Address: Division of Gastroenterology, Department of Medicine, University of Colorado-Denver School of Medicine, Aurora, Colorado. Electronic address: email@example.com.
Department of Pathology, University of Colorado-Denver School of Medicine, Aurora, Colorado.
Division of Gastroenterology, Department of Medicine, University of Colorado-Denver School of Medicine, Aurora, Colorado.
Reference Type: Journal Article
Record Number: 4606Author: Aundhakar, S., Mahajan, S., Agarwal, A. and Mhaskar, D.
Title: Acute pancreatitis associated with elevated troponin levels: whether to thrombolyse or not?
Journal: Ann Med Health Sci Res
Issue: Suppl 1
Short Title: Acute pancreatitis associated with elevated troponin levels: whether to thrombolyse or not?
Alternate Journal: Annals of medical and health sciences research
ISSN: 2141-9248 (Print)
Accession Number: 24349851
Abstract: The presentation of retrosternal chest pain with normal electrocardiogram (ECG) during chest pain followed by initial presentation of acute pancreatitis can lead to a dilemma in managing such a patient, and whether to thrombolyse such a patient is a real controversy. We hereby present a similar case who was diagnosed to be having acute pancreatitis on admission, on clinical grounds, confirmed by laboratory investigations and ultrasonography, who subsequently developed retrosternal chest pain with normal ECG during the chest pain. All further serial ECGs after the onset of chest pain were within normal limits. The troponin-I level of this patient was positive twice (done 16 h apart). The patient was treated as acute coronary syndrome along with the standard management protocol of acute pancreatitis.