[Cardiac involvement in inflammatory bowel disease].

A 67-year-old man with ulcerative colitis of 1 year's duration was hospitalized with myopericarditis. Clinical manifestations were pleuritic pain, palpitation and fever. There was atrial fibrillation and supraventricular tachycardia with ST elevation in all leads. He recovered under treatment with indomethacin. No etiology other than the bowel disease was found. According to the literature, heart involvement in inflammatory bowel disease is rare; it is seen more frequently in men and in those with ulcerative colitis. This complication is not related to the activity of the bowel disease. The heart involvement responds well to either nonsteroidal anti-inflammatory drugs or to corticosteroids.