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Case Reports in Medicine
Volume 2016, Article ID 3132654, 4 pages
http://dx.doi.org/10.1155/2016/3132654
Case Report

ST Segment Elevation with Normal Coronaries

1Department of Cardiology, East Tennessee State University, Johnson City, TN 37604, USA
2Department of Internal Medicine, East Tennessee State University, Johnson City, TN 37604, USA
3Department of Internal Medicine, UAB, Montgomery, AL 36116, USA

Received 28 February 2016; Accepted 22 May 2016

Academic Editor: Michael S. Firstenberg

Copyright © 2016 Pooja Sethi 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

Noncardiac causes should be kept in the differential while evaluating ST elevation on EKG. Rarely abdominal pathologies like acute pancreatitis can present with ST elevation in the inferior leads. Once acute coronary syndrome is ruled out by emergent cardiac catheterization alternative diagnosis should be sorted. Abdominal pathologies, like acute pancreatitis and acute cholecystitis, can present with ST elevation in the inferior leads. Treating the underlying condition would result in resolution of these EKG changes.