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.
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Sethi, Pooja; Murtaza, Ghulam; Sharma, Ashwini; and Paul, Timir. 2016. ST Segment Elevation with Normal Coronaries. Case Reports in Medicine. Vol.2016 https://doi.org/10.1155/2016/3132654 ISSN: 1687-9627