Heart Failure Associated to Acute Pancreatitis: Case Report

Authors

DOI:

https://doi.org/10.55204/trc.v3i1.e161

Keywords:

Pancreatitis, Atrial Fibrillation, Diabetic Ketoacidosis, Pulmonary Edema

Abstract

Heart failure is a clinical syndrome caused by structural or functional disorders associated with decreased cardiac output and increased congestion.  Acute pancreatitis is characterized by the excessive activation of trypsin, causing self-digestion of pancreatic tissue, in 20% of cases it can culminate in multiorgan failure due to systemic inflammatory response syndrome. We present the case of a 70-year-old female patient with multiple comorbidities who presents symptoms compatible with heart failure, admitted for emergency with hemodynamic instability and the classic clinic of acute pulmonary edema, during the period of hospitalization there is evidence of deterioration presenting signs of severe pancreatitis and multiorgan failure.

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References

Dams, O. C., Vijver, M. A. T., van Veldhuisen, C. L., Verdonk, R. C., Besselink, M. G., & van Veldhuisen, D. J. (2022). Heart Failure and Pancreas Exocrine Insufficiency: Pathophysiological Mechanisms and Clinical Point of View. In Journal of Clinical Medicine (Vol. 11, Issue 14). MDPI. https://doi.org/10.3390/jcm11144128

Dr. Burguez, S. (2017). Insuficiencia cardíaca aguda. Revista Uruguaya de Cardiología, 32(3). https://doi.org/10.29277/ruc/32.3.17

Dr. Mendoza Aquino, J. (2012). Factores asociados a mortalidad n los pacientes atendidos en urgencias adultos por insuficiencia cardiaca aguda, en el Hospital General Regional 01 IMSS, Chihuahua, Chihuahua. [Universidad Autónoma de Chihuahua. Instituto Mexica del Seguro Social].

Manuel Tarelo Saucedo, J., José Jacobo Valdivieso, E., Antonio Omaña Toledo, J., Díaz Quiroz, G., Archundia García, A., Enrique Martínez Corral, M., Moreno Aguilar, R., & Manuel Tarelo Saucedo San Felipe, J. (2012). Pancreatitis necrótico-hemorrágica secundaria a derivación cardiopulmonar en cirugía valvular cardiaca. Rev Esp Méd Quir, 17(2), 131–136.

Franco, J., Formiga, F., Corbella, X., Conde-Martel, A., Llácer, P., Álvarez Rocha, P., Ormaechea Gorricho, G., Satué, J., Soler Rangel, L., Manzano, L., Montero-Pérez-Barquero, M., Anarte, L., Aramburu, O., Arévalo-Lorido, J. C., Carrascosa, S., Carrera, M., Cepeda, J. M., Cerqueiro, J. M.

Chioncel, O., Mebazaa, A., & Harjola, V.-P. et al. (2017, October). Clinical phenotypes and outcome of patients hospitalized for acute heart failure: the ESC Heart Failure Long-Term Registry. European Journal of Heart Failure 19 (10), 1211-1344. https://doi.org/10.1002/ejhf.890

Nieminen, M. S., Brutsaert, D., & Dickstein, K. et al. (2006). EuroHeart Failure Survey II (EHFS II): a survey on hospitalized acute heart failure patients: description of population. European Heart Journal, 27(22), 2725–2736. https://doi.org/10.1093/eurheartj/ehl193

Meyer, T. E. (2023, February). Approach to diagnosis and evaluation of acute decompensated heart failure in adults. UpToDate. Retrieved March 8, 2023, from https://www.uptodate.com/contents/approach-to-diagnosis-and-evaluation-of-acute-decompensated-heart-failure-in-adults?search=acute%20heart%20failure&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1

Mant, J., Doust, J., & Roalfe, A. (2009). Systematic review and individual patient data meta-analysis of diagnosis of heart failure, with modelling of implications of different diagnostic strategies in primary care. Health Technology Assessment, 13(32). https://doi.org/10.3310/hta13320

Lee, K. K., Doudesis, D., Anwar, M., Astengo, F., Chenevier-Gobeaux, C., & Claessens, Y. (2022). Development and validation of a decision support tool for the diagnosis of acute heart failure: systematic review, meta-analysis, and modelling study. BMJ ; 377:e068424. https://doi.org/10.1136/bmj-2021-068424

McMurray, J. V., Adamopoulos, S., & Anker, S. D. et al. (2012, July). ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC. European Heart Journal, 33 (14),1787–1847. https://doi.org/10.1093/eurheartj/ehs104

Martindale, J. L., Wakai, A., & Collins, S. P. et al. (2016, March). Diagnosing Acute Heart Failure in the Emergency Department: A Systematic Review and Meta-analysis. Academic Emergency Medic, 23 (3), 223 - 242. https://doi.org/10.1111/acem.12878

Palazzuoli, A., Evangelista, I., Beltrami, M., & Pirrota, F. et al. (2022). Clinical, Laboratory and Lung Ultrasound Assessment of Congestion in Patients with Acute Heart Failure. Journal of Clinical Medicine, 11(6), 1642.

Ellison, D., & Felker, G. (2017, November 16). Diuretic Treatment in Heart Failure. N Engl J Med. 377(20), 1964-1975. https://www.nejm.org/doi/10.1056/NEJMra1703100

Matsue, Y., Damman, K., & Voors, A. (2017, June). Time-to-Furosemide Treatment and Mortality in Patients Hospitalized With Acute Heart Failure. Journal of the American College of Cardiology, 69 (25), 3042-3051. https://doi.org/10.1016/j.jacc.2017.04.042

Ponikowski, P., Voors, A. A., & Anker, S. D. (2016). 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. European Heart Journal, 37(27), 2129–2200.

Dimpi, D., Dhruv, M., Priyanka, M., Gopal, M., & Ulrich, S. (2018, May 17). Health Care Utilization and Burden of Diabetic Ketoacidosis in the U.S. Over the Past Decade: A Nationwide Analysis. Diabetes Care 2018, 41(8), 1631–1638. https://doi.org/10.2337/dc17-1379

Zhong, V. W., Juhaeri, J., & Mayer-Davis, E. J. (2018, January 31). Trends in Hospital Admission for Diabetic Ketoacidosis in Adults With Type 1 and Type 2 Diabetes in England, 1998–2013: A Retrospective Cohort Study. Diabetes Care 2018, 41(9), 1870–1877. https://doi.org/10.2337/dc17-1583

Banks, P. A., Bollen, T. L., Dervenis, C., Gooszen, H. G., Johnson, C. D., Sarr, M. G., Tsiotos, G. G., & Vege, S. S. (2012, October 25). Classification of acute pancreatitis—2012: revision of the Atlanta classification and definitions by international consensus. Gut Magazine 2013; 62:102-111. http://dx.doi.org/10.1136/gutjnl-2012-302779

Papachristou, G., Muddana, V., Yadav, D., O'Connell, M., Sanders, M. K., Adam, S., & Whitcomb, D. C. et al. (2010, February). Comparison of BISAP, Ranson's, APACHE-II, and CTSI Scores in Predicting Organ Failure, Complications, and Mortality in Acute Pancreatitis. American Journal of Gastroenterology 105(2), 435-441. https://doi.org/10.1038/ajg.2009.622

Verbrugge, F. H., Grieten, L., & Mullens, W. et al. (2014). Management of the cardiorenal syndrome in decompensated heart failure. Cardiorenal Med, 4(3-4), 176–188. https://doi.org/10.1159/000366168.

Johnson, C. D., & Abu-Hilal, M. (2004). Persistent organ failure during the first week as a marker of fatal outcome in acute pancreatitis. GUT Magazine 53 (9), 1340-1344. https://gut.bmj.com/content/53/9/1340

Published

2023-03-29

Issue

Section

Health Sciences

How to Cite

Lema Guaraca, C. A., Ortiz Freire, E. B., Maldonado Espinoza, O. E., Alvarez Vasquez, M. C., & García Sarmiento, P. M. (2023). Heart Failure Associated to Acute Pancreatitis: Case Report . Tesla Revista Científica, 3(1), e161. https://doi.org/10.55204/trc.v3i1.e161

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