الفهرس 
PancreatitisOnly 14 pages are availabe for public view
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Abstract
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SUMMARY AND CONCLUSION
Diabetes mellitus is a metabolic disease, the management
of various complications of diabetes is a vital aspect.
Among the most common of these complications is heart
diseases especially the myocardial infarction.
Higher level of triglycerides in diabetic patients
may precipitate the occurrence of hyperamylasemia with
or without clinical evidence of pancreatitis.
Hence, the study of pancreatitis in diabetic patients
associated with old myocardial infarction is essential
as both give chest pain and abdominal pain and misdiagnosis
or association may be a possiqility.
’Twenty diabetic patients with old myocardial infarction
still complaining of recurrent chest or abdominal pain
were chosen for this study. To all of them, the following
had been done.
Full medical history taking.
Full clinical examination.
E.C.G. record.
Determination of fasting and post-prandial blood sugar.
Serum amylase.
Serum Triglycerides.
Bicarbonate content in duodenal aspirate.
Abdominal ultrasonography.
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Out of the twenty diabetic patients with old myocardial
infarction, two showed hyperamylasemia.
Cases with hyperamylasemia showed higher levels of
serum triglycerides.
The hypertriglyceridemia and associated hypotension
together with the stress situation of diabetic patients
with old myocardial infarction share in the pathogenesis
of hyperamylasemia with or without clinical evidence of
pancreatitis.
So, we recommended, that the serum amylase estimation
must be done in all cases of old myocardial infarction,
presenting with atypical upper abdominal pain or even
any abdominal discomfort and also in condition with persistent
chest or upper abdominal pain after acute coronary
attack. Also at least an E.C.G. is to be record for any
patient presenting with upper abdominal pain especially
if associated with hypotension.