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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