Recurrent myocarditis in a patient with active ulcerative colitis: a case report and review of the literature.

Inflammatory bowel diseases such as ulcerative colitis (UC) may be complicated by several extraintestinal manifestations. These involve joints, skin, eyes and less commonly lungs and heart. Myocarditis may result from the toxic effect of drugs (ie, mesalazine) commonly used for the treatment of UC or due to infections (eg, Coxsackieviruses, enteroviruses, adenovirus).

[Chest pain in the emergency department: benefits of a management model modified from the ANMCO-SIMEU recommendations].

Background: The evaluation of chest pain patients in the emergency department remains a costly and difficult challenge, even though a large proportion of them do not suffer from an acute coronary syndrome. We adopted a clinical decision model, modified from the ANMCO-SIMEU recommendations, and tested its clinical usefulness by assessing: a) the rate of unnecessary hospital admissions, b) the rate of inappropriate discharges based on coronary events (unstable angina, myocardial infarction, death) at 6 months.

Methods: Our population included 511 consecutive patients with chest pain for a period of 6 months.