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Prevalence of electrocardiographic and echocardiographic abnormalities in ambulatory ischemic colitis
Insights
Cardiac causes for ambulatory ischemic colitis were investigated. A significant percentage of patients showed potential cardiac etiology, highlighting the need for thorough cardiovascular evaluation in these cases.
Area of Science:
- Cardiology
- Gastroenterology
- Internal Medicine
Background:
- Ambulatory ischemic colitis is a condition that can have various underlying causes.
- Identifying potential cardiac contributions is crucial for comprehensive patient management.
Purpose of the Study:
- To determine the prevalence of cardiac arrhythmia and intracardiac embolic processes in patients with ambulatory ischemic colitis.
Main Methods:
- A cohort of 33 patients with ambulatory ischemic colitis underwent cardiovascular assessments.
- Evaluations included electrocardiograms, 24-hour ambulatory electrocardiography, and transthoracic echocardiography.
Main Results:
- Cardiac arrhythmia was detected in 8 out of 33 patients (24%).
- An intracardiac embolic process was identified in 4 out of 33 patients (12%).
- Overall, 33% of patients had a potential cardiac etiology for their condition.
Conclusions:
- A substantial proportion of ambulatory ischemic colitis cases may be linked to cardiac issues.
- Comprehensive cardiovascular evaluation is recommended for patients presenting with ambulatory ischemic colitis.
Abstract:
The aim of this study was to evaluate the prevalence of cardiac arrhythmia and intracardiac embolic process in ambulatory ischemic colitis. From November 1994 to November 1997, 33 consecutive cases of ambulatory ischemic colitis were detected. This study included 21 women and 12 men with a mean age of 71 years. All patients underwent a cardiovascular investigation including questioning, electrocardiogram, 24-hr ambulatory electrocardiography and transthoracic echocardiography. A prior history of ischemic colitis was found in four cases (12%). Cardiac arrhythmia was detected in eight cases. Transthoracic echocardiography showed an intracardiac process, potentially responsible for a peripheral embolism, in four cases. In conclusion, the aggregate, in 33% of the patients, there was potential cardiac etiology. This suggests that when ambulatory ischemic colitis occurs, it is necessary to perform an exhaustive cardiovascular evaluation similar to those performed in other ischemic diseases.