Acute pancreatitis frequently presents many bizarre symptoms and physical signs, so that its differential diagnosis from other acute conditions, especially acute coronary occlusion and perforated peptic ulcer, presents many difficulties. As most observers are in agreement concerning the conservative or nonoperative treatment of acute pancreatitis and the entirely dissimilar treatment of acute coronary disease, the importance of making a correct diagnosis is obvious.
We were impressed by a series of changes observed in the electrocardiographic patterns in a number of cases of acute pancreatitis, and this has led us to believe that a new aid in diagnosis might be made available. Our first experience with this phenomenon is presented in the following case report:
G. S., a man aged 38, admitted on May 30, 1938, gave a history of chills and fever starting four days before admission. Two days after the onset he began to have severe pain
GOTTESMAN J, CASTEN D, BELLER AJ. CHANGES IN THE ELECTROCARDIOGRAM INDUCED BY ACUTE PANCREATITISA CLINICAL AND EXPERIMENTAL STUDY. JAMA. 1943;123(14):892–894. doi:10.1001/jama.1943.02840490020007