Prevalence of Echocardioghraphic and ECG Changes in Patients With Acute Pancreatitis and Its Impact on Outcome.
Prevalence of Echocardioghraphic and ECG Changes in Patients With Acute Pancreatitis and Its Impact on Outcome.
Cardiovascular system involvement with acute pancreatitis has been described before in the
 form of ECG changes and echocardiographic findings. However the correlation between these
 changes and the outcome of acute pancreatitis has not been and whether they can be used to
 predict mortality in these patients has been controversial.In the current study our aim is to
 detect echocardioghraphic and ECG changes in acute pancreatitis and investigate the
 significance of these changes on prognosis.
Acute pancreatitis is a relatively common disease with significant morbidity and mortality.
 About 75% of pancreatitis is caused by gallstones or alcohol. The Atlanta classification of
 acute pancreatitis has been used to differentiate between severe and mild cases of acute
 pancreatitis. According to this classification, patients are diagnosed with severe acute
 pancreatitis if they show evidence of organ failure, Local complications (eg, necrosis,
 abscess, pseudocyst), Ranson score of 3 or higher or APACHE score of 8 or higher. Severe
 acute pancreatitis has a wide range of affection on nearly all body systems with various
 degrees of affection than affect both the clinical picture and the prognosis of the disease.
 the cardiovascular system involvement has been described before ,in the form of ECG changes
 (sinus tachycardia, arrhythmias, conduction abnormalities.. ) and echocardiographic findings
 (diastolic,systolic or combined dysfunction, wall motion abnormalities, pericardial
 effusion..). However the correlation between these changes and the outcome of acute
 pancreatitis has not been and whether they can be used to predict mortality in these patients
 has been controversial.In the current study our aim is to detect echocardioghraphic and ECG
 changes in acute pancreatitis and investigate the significance of these changes on prognosis.
Inclusion Criteria:

 -  all patients with acute pancreatitis aged more than 18 yrs admitted to Al-raghy ICU of
 all etiologies

 Exclusion Criteria:

 -  patients less that 18 years

 -  patients above 80 years

 -  patients with known cardiac disease

 -  patients with pre-existing diabetes, chronic renal failure or malignancy.

 -  patients with underlying chronic pancreatitis