Part I: Cutaneous manifestations of cardiovascular disease

Jamie Karch1, Aishwarya Raja2, Henriette De La Garza3

  • 1Department of Medicine, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire.

Insights

Dermatologists can identify skin symptoms linked to cardiovascular diseases, aiding early diagnosis and patient care. Recognizing these cutaneous manifestations is crucial as heart conditions become more common.

Area of Science:

  • Cardiology and Dermatology
  • Medical Education Series

Background:

  • Cardiovascular diseases (CVDs) are increasing in incidence and prevalence globally.
  • Cutaneous symptoms can be early indicators of underlying cardiovascular conditions.
  • Dermatologists are uniquely positioned to recognize these skin manifestations.

Purpose of the Study:

  • To review the epidemiology and pathophysiology of cardiovascular diseases.
  • To explore the association between cardiovascular diseases and cutaneous symptoms.
  • To outline the diagnosis and evaluation of skin features related to specific cardiovascular syndromes.

Main Methods:

  • Review of literature on cardiovascular diseases and their dermatologic manifestations.
  • Discussion of key cardiovascular syndromes with associated cutaneous findings.
  • Emphasis on the diagnostic and evaluative role of dermatologists.

Main Results:

  • Detailed review of cardiovascular conditions including infective endocarditis, acute rheumatic fever, Kawasaki disease, cholesterol embolization syndrome, lipid disorders, cardiac amyloidosis, and cardiac myxomas.
  • Established link between specific cardiovascular pathologies and observable skin changes.
  • Highlighted the importance of dermatological assessment in the context of cardiovascular health.

Conclusions:

  • Dermatologists play a vital role in the early detection of cardiovascular diseases through skin examination.
  • Timely recognition of cutaneous manifestations facilitates appropriate patient referral and management.
  • This review serves as a foundational guide for clinicians managing patients with potential cardiovascular-cutaneous links.

Related Concept Videos

Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
31
Assessment of the Cardiovascular System II: Inspection01:29

Assessment of the Cardiovascular System II: Inspection

Inspection is the initial step in assessing the cardiovascular system. It involves a detailed visual examination that provides crucial information about a patient's circulatory and cardiac health. This systematic process, conducted from head to toe, helps identify signs of cardiovascular conditions by observing physical appearance, skin and mucous membranes, jugular and carotid pulsations, chest symmetry, and the condition of the extremities.
Head and Neck
457
Skin Diseases and Disorders01:23

Skin Diseases and Disorders

Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
4.3K
Assessment of the Cardiovascular System III: Palpation01:27

Assessment of the Cardiovascular System III: Palpation

Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
517
Cardiovascular System Abnormal Findings I: Inspection and Palpation01:29

Cardiovascular System Abnormal Findings I: Inspection and Palpation

In a cardiovascular examination, inspection and palpation are crucial for identifying abnormalities.
Abnormal findings observed during an inspection
541
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
44