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[Cardiac involvement in urticaria]
Insights
Cardiac involvement is rare in urticaria (hives) patients, but can cause chest pain and T-wave changes on ECGs. This case highlights potential cardiac manifestations in urticaria, including extrasystoles.
Area of Science:
- Cardiology
- Dermatology
- Internal Medicine
Context:
- Urticaria (hives) is a common skin condition.
- Cardiac involvement in urticaria is considered rare but documented.
- Previous studies have reported cardiac symptoms in urticaria patients.
Purpose:
- To highlight the rare cardiac manifestations associated with urticaria.
- To discuss the clinical presentation and electrocardiographic findings in a patient with urticaria and cardiac symptoms.
- To emphasize the importance of considering cardiac evaluation in urticaria patients with chest pain.
Summary:
- This report describes a patient with urticaria experiencing chest pain radiating to the left arm.
- Electrocardiogram (ECG) revealed T-wave abnormalities and ST-segment depression, consistent with transient ischemic changes.
- The patient also presented with monotopic extrasystoles, further indicating cardiac involvement.
Impact:
- This case underscores the potential for cardiac complications in urticaria patients.
- It emphasizes the need for vigilance in diagnosing and managing cardiac symptoms in this population.
- Early recognition and appropriate cardiac assessment can prevent adverse outcomes.
Abstract:
Cardiac involvement in patients with urticaria is rare, but repeatedly assured in publications. Subjective complaints concern chest pain, which extends to the left shoulder and the left arm. Transient electrocardiographic changes can be observed more frequently and they often persist longer than the ches pain. In these patients the most frequent electrocardiographic changes consist in flattening or inversion of the T-wave and depression of the ST-distance. Such a patient is described who additionally showed monotopic extrasystoles.