Year : 2015  |  Volume : 8  |  Issue : 2  |  Page : 196-198

Electrocardiographic changes in patients with acute pancreatitis

1 Department of Internal Medicine, Findikli State Hospital, Agri, Rize, Turkey
2 Department of Cardiology, Sakarya University Faculty of Medicine, Sakarya, Turkey
3 Department of Internal Medicine, Taslicay State Hospital, Agri, Rize, Turkey
4 Department of Internal Medicine, Sakarya University Faculty of Medicine, Sakarya, Turkey
5 Department of Gastroenterology, Sakarya University Faculty of Medicine, Sakarya, Turkey

Correspondence Address:
Selcuk Yaylaci
Department of Internal Medicine, F?nd?kl? State Hospital, Rize
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0975-2870.153159

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Background and Aims: Multiple organ system dysfunctions especially cardiovascular manifestations are frequently seen in severe acute pancreatitis (AP). The aim of this study was to investigate the frequency and type of electrocardiographic (ECG) abnormalities present in patients with AP. Materials and Methods: Patients with AP admitted to our hospital, the National Tertiary Referral Center, from January 2009 to December 2010 were included in the study. The diagnosis of AP was made by acute abdominal pain and tenderness, elevated serum enzymes and typical findings detected by abdominal ultrasonography and/or contrast-enhanced computed tomography. A 12-lead derivation ECG was recorded, and serum electrolytes were performed on admission in all cases. ECG abnormalities were recorded. ECG findings were summarized in terms of frequencies, means, and standard deviations. Results: A total of 64 AP cases 19 males (29, 7%), 45 females (70, 3%) were included into the study. Among patients included in the study, 42 (65.7%) were biliary, 20 (31.2%) were idiopathic, and 2 (3.1%) were drug-related. There were 42 (65.6%) patients with one or more serum electrolyte disturbances. 56.3% of the patients with AP had normal sinus rhythm, 43.7% had changes in ECG; and the T-wave negativity was the most frequent ECG abnormality. Twenty-five (89.2%) of the 28 patients with ECG abnormalities had one or more electrolyte abnormalities. Conclusion: The study results suggested that ECG changes may be observed frequently in patients with AP, and more attention should be paid to the cardiac patients with electrolyte imbalance.

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