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Case Reports in Medicine
Volume 2010, Article ID 204547, 3 pages
http://dx.doi.org/10.1155/2010/204547
Case Report

To Perform Thrombolysis or Not: A Case of Acute Pancreatitis Presenting with Chest Pain and Transient Left Bundle Branch Block

Castle Hill Hospital, Cottingham HU16 5JQ, UK

Received 26 July 2010; Revised 18 August 2010; Accepted 25 August 2010

Academic Editor: William J. Brady

Copyright © 2010 S. Ullah et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A suspected case of acute coronary syndrome presented with new-onset left bundle branch and first-degree heart blocks. The decision to thrombolyse was reverted as ECG changes proved to be transient within fifteen minutes of presentation. Later on the patient was diagnosed with acute pancreatitis based on laboratory results of serum amylase, confirmed on radiological investigations.