Leker Kristy, Johal Parampreet
Eisenhower Medical Center, Rancho Mirage, CA, USA.
Trinity Health, Livonia, MI, USA.
J Investig Med High Impact Case Rep. 2025 Jan-Dec;13:23247096251352370. doi: 10.1177/23247096251352370. Epub 2025 Jul 16.
When first presented, ST-segment elevation on EKG (electrocardiogram) requires close scrutiny. The most concerning of possible diagnoses is acute coronary syndrome, yet it is not the only clinical entity that can cause ST-segment elevation. Herein, we present a case of a 62-year-old male current smoker with past medical history of uncontrolled diabetes, hypertension, and hyperlipidemia presenting with abdominal pain for 1 week duration. His initial admission EKG illustrated ST-segment elevation; however, his clinical presentation, lack of anginal symptoms, normal bedside transthoracic echocardiogram, and normal range troponin were not indicative of myocardial infarction. In fact, he was found to have elevated lipase and CT findings consistent with acute pancreatitis. This case highlights an uncommon presentation of pancreatitis and illustrates the importance of obtaining a comprehensive clinical history when evaluating patients to ensure patient's receive efficient and appropriate care.
首次出现时，心电图（EKG）上的ST段抬高需要仔细检查。最令人担忧的可能诊断是急性冠状动脉综合征，但它不是唯一可导致ST段抬高的临床病症。在此，我们报告一例62岁男性现吸烟者，既往有未控制的糖尿病、高血压和高脂血症病史，出现腹痛1周。他入院时的初始心电图显示ST段抬高；然而，他的临床表现、无心绞痛症状、床边经胸超声心动图正常以及肌钙蛋白在正常范围内，均不提示心肌梗死。事实上，他被发现脂肪酶升高，CT检查结果符合急性胰腺炎。该病例突出了胰腺炎的一种不常见表现，并说明了在评估患者时获取全面临床病史以确保患者得到有效和适当治疗的重要性。
