• Po-Chao Hsu, Tsung-Hsien Lin, Ho-Ming Su, Zu-Yau Lin, Wen-Ter Lai, and Sheng-Hsiung Sheu.
• Division of Cardiology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
• Kaohsiung J Med Sci. 2010 Apr 1; 26 (4): 200-5.

AbstractAcute pancreatitis complicated with acute myocardial infarction has rarely been reported and the precise mechanisms of myocardial injury remain unclear. We report a 49-year-old man presenting with epigastralgia who had been hospitalized for acute necrotizing pancreatitis, and who subsequently developed ST elevation myocardial infarction. The patient eventually died because of severe heart failure and complications of progressive necrotizing pancreatitis. Although a standard management protocol for these patients has not yet been developed, administration of thrombolytic agents may cause severe complications based on the limited case reports already published. We suggest that coronary angiography and further interventions such as angioplasty and possibly stenting should be performed in these cases.Copyright 2010 Elsevier. Published by Elsevier B.V. All rights reserved.

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