Chest pain and ST segment elevation attributable to cholecystitis: A case report and review of the literature

Javed M. Nasir*, Steven J. Durning, Jon M. Sweet, Lannie J. Cation

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

19 Scopus citations

Abstract

Chest pain with electrocardiographic changes is usually a life-threatening presentation of cardiac ischemia. There are, however, a variety of noncardiac conditions that have been reported to mimic these clinical and electrocardiographic changes. An Asian woman presented with chest pain and ST segment elevations in the distribution of the left anterior descending artery. She had persisting chest pain and ST segment elevations that were refractory to medical therapy, leading to thrombolytic therapy and rescue angiography, which revealed no evidence of coronary artery disease by coronary catherization. Cholecystitis was subsequently diagnosed with hepatobiliary scintigraphy. The patient's fever and ST segment elevations promptly resolved with antibiotic treatment. Four previous cases of ST segment elevation attributed to cholecystitis have been reported. Although the electrocardiographic changes attributed to cholecystitis have been shown to be correctable, the pathophysiological mechanism underlying these changes remains unclear. Prompt recognition of cholecystitis can ensure appropriate treatment and may prevent the performance of unnecessary diagnostic and therapeutic interventions.

Original languageEnglish
Pages (from-to)1255-1258
Number of pages4
JournalMilitary Medicine
Volume171
Issue number12
DOIs
StatePublished - Dec 2006
Externally publishedYes

Fingerprint

Dive into the research topics of 'Chest pain and ST segment elevation attributable to cholecystitis: A case report and review of the literature'. Together they form a unique fingerprint.

Cite this