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Table 1 Characteristics of patients initially diagnosed with cardiac conditions but found to have acute cholecystitis (group 1)

From: Acute cholecystitis mimicking or accompanying cardiovascular disease among Japanese patients hospitalized in a Cardiology Department

  #01 #02 #03 #04 #05
Symptoms Chest oppression, dyspnea Chest oppression Chest pain Chest oppression Loss of consciousness
Initial diagnosis (suspected) ACS ACS ACS ACS Adams-Stokes attack
ECG changes on admission Inverted or flat T in V2-6 ST depression in II, III, AVF None (pacemaker rhythm) None None
Troponin T Negative Negative Negative Negative N/A
H-FABP Positive Negative Positive Positive N/A
Diagnosis interval, day 1 1 0 0 1
Cholelithiasis 0 1 0 1 1
Choledocholithiasis 0 0 0 1 0
Treatment Laparoscopic cholecystectomy Cholecystectomy Antibiotics Endoscopic nasobiliary drainage Cholecystectomy
  1. ACS acute coronary syndrome, H-FABP heart-type fatty acid-binding protein