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Transient ECG Changes in Patients With Acute Biliary Disease

The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified October 2012 by Inna Rozenfeld , MD, Ziv Hospital.
Recruitment status was:  Not yet recruiting
Information provided by (Responsible Party):
Inna Rozenfeld , MD, Ziv Hospital Identifier:
First received: October 10, 2012
Last updated: October 12, 2012
Last verified: October 2012


The importance of ischemic ECG changes including St segment elevation, ST segment depression or T wave inversion that indicate myocardial ischemia are well established and require appropriate investigation and treatment.

However, there is an abundance of clinical situation, with apparently ischemic ECG change not indicate traditionally coronary artery related ischemia and therefore require prompt recognition and treatment of underlying condition, that may be serious and life-threatened. For example of such conditions are pericarditis, myocarditis, aortic dissection, electrolyte abnormalities, intracranial hemorrhage and hypothermia.

Together with them, an ECG ST segment changes may appeared in abdominal serious illness such as pancreatitis and cholecystitis(17,18,19,20,23). Whereas in pancreatitis various vasoactive and toxic for myocardium substances released, the cause of ST segment changes in cholecystitis are discussed and includes tachycardia , vagal reflexes, changed in plasma rennin activity resulted by distension of the gallbladder.

The certain proportion of the patients with ECG changes actually didn't have coronary artery disease(9,15) or other acute cardiac condition and therefore require treatment of the underlie illness only without spend the time for cardiac investigation or special treatment(1,3,4,7,8). Some kind of treatment may be even harmful for the patients with abdominal illness such as thrombolytic, anticoagulant, aggressive antiaggregant therapy or unnecessary cardiac catheterization.

In the medical literature the investigators found some case reports and works about the ECG changes in acute biliary disease in patient with knowing cardiac disease and without it, but actually incidence of ECG changes that suggest but not represent an acute coronary illness isn't knowing.

Therefore this is necessary to investigate actually incidence of ECG changes that mimic acute coronary syndrome in acute cholecystitis and acute biliary disease and determined clinical and laboratory characteristics that helps to differentiate this patients.

Acute Cholecystitis Biliary Colic Acute Cholangitis

Study Type: Observational
Study Design: Observational Model: Case-Only
Time Perspective: Retrospective
Official Title: Transient ECG Changes in Patients With Acute Biliary Disease

Resource links provided by NLM:

Further study details as provided by Inna Rozenfeld , MD, Ziv Hospital:

Estimated Enrollment: 100
Study Start Date: November 2012
Estimated Study Completion Date: May 2014
Estimated Primary Completion Date: November 2013 (Final data collection date for primary outcome measure)

Ages Eligible for Study:   18 Years to 75 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Patients with ECG changes

Inclusion Criteria:

  1. Patients from age 18 and up to 75years old.
  2. Causes of admission to the ED are acute cholecystitis, biliary colic, acute cholangitis
  3. The patient is willing to participate in the study and is able to sign an informed consent form.

Exclusion Criteria:

  1. Elective hospitalization with known and not acute condition.
  2. Inability to give inform consent .
  3. Sepsis as complication of illness.
  4. Chronic ECG changes known by medical history.
  5. Knowing history of IHD.
  6. Previous cardiac catheterization with documented stenosis of at least 1 major coronary artery equal or more 50%.
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Please refer to this study by its identifier: NCT01706068

Ziv Medical Center Not yet recruiting
Zefat, Israel, 13100
Contact: Inna Rozenfeld, MD    972508434217   
Principal Investigator: Inna Rozenfeld, MD         
Sponsors and Collaborators
Ziv Hospital
  More Information

Responsible Party: Inna Rozenfeld , MD, Principal Investigator, Ziv Hospital Identifier: NCT01706068     History of Changes
Other Study ID Numbers: ECGCTIL
Study First Received: October 10, 2012
Last Updated: October 12, 2012

Keywords provided by Inna Rozenfeld , MD, Ziv Hospital:
acute ECG changes
acute illness of gallbladder
acute illness of biliary tract

Additional relevant MeSH terms:
Acalculous Cholecystitis
Cholecystitis, Acute
Gallbladder Diseases
Bile Duct Diseases
Biliary Tract Diseases
Digestive System Diseases processed this record on September 21, 2017