Acute cholecystitis associated with sepsis-induced ischemic cardiomyopathy

Various non-cardiac conditions, including cholecystitis, pancreatitis, and pneumonitis, have been reported to mimic ischemic heart disease manifesting both clinically and as electrocardiography (ECG) changes. 1 Leoni D. Rello J. Cardiac arrest among patients with infections: causes, clinical practice and research implications. Clin Microbiol Infect. 2017; 23: e735-e736 Google Scholar ,2 Patel N. Ariyarathenam A. Davies W. Harris A. Acute cholecystitis leading to ischemic ECG changes in a patient with no underlying cardiac disease. JSLS. 2011; 15: 105-108https://doi.org/10.4293/108680811X13022985131534 Google Scholar These conditions usually lead to nonspecific T-wave inversion or ST-segment elevation. 1 Leoni D. Rello J. Cardiac arrest among patients with infections: causes, clinical practice and research implications. Clin Microbiol Infect. 2017; 23: e735-e736 Google Scholar ,2 Patel N. Ariyarathenam A. Davies W. Harris A. Acute cholecystitis leading to ischemic ECG changes in a patient with no underlying cardiac disease. JSLS. 2011; 15: 105-108https://doi.org/10.4293/108680811X13022985131534 Google Scholar Acute cholecystitis complicating sepsis-induced ischemic cardiomyopathy is rare. Here, we report the case of a female patient with symptoms consistent with chest pain, fever, nausea, and vomiting. ECG showed unexpected changes with inferolateral ST-segment elevation (Fig. 1A) indicative of an inferolateral myocardial infarct.