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Ulcerative colitis complicated by Wenckebach atrioventricular block.

A Ballinger¹, M J Farthing

¹Department of Gastroenterology, St Bartholomew's Hospital, London.

|October 1, 1992

Summary

Inflammatory bowel disease (IBD) can cause rare cardiac issues like pericarditis. This case shows a patient with ulcerative colitis experiencing chest pain and heart block, which resolved with steroid treatment.

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Area of Science:

Cardiology
Gastroenterology
Internal Medicine

Background:

Extracolonic manifestations are common in inflammatory bowel disease (IBD).
Cardiac complications, including pericarditis, are rare but described associations with IBD.
Ulcerative colitis (UC) is a chronic inflammatory condition of the colon.

Observation:

A 57-year-old male with a 20-year history of UC presented with acute retrosternal chest pain and dyspnea.
Initial electrocardiogram revealed Wenckebach atrioventricular block.
The patient subsequently developed bloody diarrhea, indicative of active proctocolitis.

Findings:

The patient's cardiac symptoms and active proctocolitis resolved within 48 hours of initiating oral prednisolone treatment.
Electrocardiogram abnormalities normalized upon clinical improvement.
This suggests a potential link between active ulcerative colitis and cardiac manifestations like atrioventricular block.

Implications:

Highlights the importance of considering cardiac involvement in IBD patients presenting with chest pain.
Demonstrates the efficacy of corticosteroid therapy in managing concurrent IBD and cardiac complications.
Underscores the need for further research into the mechanisms linking IBD and cardiac issues.

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