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Volume : 34 Issue : 2 Year : 2019



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Electrocardiographic Changes in Patients with Non-Cardiac Disorders [Medeniyet Med J]
Medeniyet Med J. 2003; 18(1): 47-49

Electrocardiographic Changes in Patients with Non-Cardiac Disorders

Saim Yüksel1, Mümtaz Takır2, Bedri Durmuş3, Müzeyyen Karasakal3, D. Burçak Eyinç3
1Haydarpasa Numune Training and Research Hospital for Infectious Diseases Clinic, Istanbul
2Haydarpasa Numune Training and Research Hospital, 5. Internal Medicine, Istanbul
3SSK Goztepe Hospital, II. Internal Medicine, Istanbul

Transient electrocardiographic changes in patients with acute cholecystitis, pancreatitis, pneumonia and septic shock have been reported in the past 70 years. These changes usually are in the form of T-wave inversion, ST-segment depression, and rarely ST segment elevation in the absence of coronary heart disease. A vagally mediated cardio-biliary reflex is the presumed cause of these changes. Three cases was diagnosed as acute cohlecystitis, acute pancreatitis and septic shock presented with literature as a review. The signs and symtomps of gallbladder and heart disease may overlap, making diagnosis diffucult. In patients with known coronary heart disease and acute cholecystitis, the surgeon shouldn’t be discouraged from cholecystektomi merely because of questionable electrocardiogram. Undue delay in treatment while awaiting the
result of the cardiac screen may result in both cardiac and septic complications. Dopamine and dobutamine infusion induced coronary vasoconstriction should be use carefully in patients with septic shock.

Keywords: Acute cholecystitis, acute pancreatitis, septic shock, electrocardiograp


Non-Kardiak Hastalarda Elektrokardiografik Değişiklikler

Saim Yüksel1, Mümtaz Takır2, Bedri Durmuş3, Müzeyyen Karasakal3, D. Burçak Eyinç3
1Haydarpaşa Numune Eğitim ve Araştırma Hastanesi İntaniye Kliniği, İstanbul
2Haydarpaşa Numune Eğitim ve Araştırma Hastanesi, 5. Dahiliye Kliniği, İstanbul
3SSK Göztepe Eğitim Hastanesi, II. Dahiliye Kliniği, İstanbul

Anahtar Kelimeler: Akut kolesistit, akut pankreatit, septik flok, elektrokardiografi


Saim Yüksel, Mümtaz Takır, Bedri Durmuş, Müzeyyen Karasakal, D. Burçak Eyinç. Electrocardiographic Changes in Patients with Non-Cardiac Disorders. Medeniyet Med J. 2003; 18(1): 47-49

Corresponding Author: Saim Yüksel, Türkiye


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