Severe acute pancreatitis plus acute myocardial infarction:one case report with a literature review
Objective To explore the pathogenesis,risk factors,clinical manifestations and treatment outcomes of acute myocardial infarction(AMI)after severe acute pancreatitis(SAP)to enhance the clinical awareness of this condition.Methods A retrospective analysis of clinical data and literature review was conducted for one hospitalized case of SAP complicated by AMI.The mechanisms,risk factors,clinical manifestations,diagnosis,preventive measures and outcomes were examined.Results A 76-year-old male was admitted for SAP.During hospitalization,percutaneous catheter drainage(PCD)and surgical debridement were performed for infected pancreatic necrosis.Infection improved markedly after surgical debridement.Chest discomfort appears at Week 5 post-operation.Electrocardiography revealed ST-segment elevation in leads V1-V3 of anterior wall,accompanied by elevated levels of troponin T and creatine kinase-MB(CK-MB).Coronary angiography hinted at marked stenosis in mid-left anterior descending artery.A diagnosis of AMI was made.Percutaneous transluminal coronary angioplasty(PTCA)and drug balloon angioplasty were performed,resulting in successful revascularization without residual stenosis.Postoperative recovery was favorable.Conclusion AMI as a complication of AP is rare and yet significant.Clinicians should heighten attention to this potential complication and explore more effective strategies for prevention and treatment.
万方数据
维普
