Cardiomyopathy and pericardial tamponade in ulcerative colitis.
Cardiac complications of inflammatory bowel disease are rare; the most commonly reported complication is pericarditis. Drugs containing 5-aminosalicylic acid have been implicated as the cause of pericarditis in inflammatory bowel disease. A male patient with ulcerative colitis who was not taking any 5-aminosalicylic acid-containing drugs, but who developed a severe myopericarditis mimicking an acute myocardial infarction, is described. He subsequently required therapeutic pericardiocentesis for his worsening cardiac tamponade. The literature on cardiac complications of inflammatory bowel disease is reviewed.
Dubowitz
M
M
Wycombe Hospital, High Wycombe, Bucks HP11 2TT, UK.
Gorard
D A
DA
D000328:Adult; D002305:Cardiac Tamponade / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D009202:Cardiomyopathies / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D003093:Colitis, Ulcerative / Q000150:complications*; D004562:Electrocardiography; D006339:Heart Rate; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology; D020519:Pericardiocentesis