Stress (Takotsubo) cardiomyopathy in a patient with anorexia nervosa

We report the case of a woman with anorexia nervosa who developed takotsubo cardiomyopathy triggered by emotional stress and electrolyte disturbances. The patient improved with conservative management. Descriptions of stress-cardiomyopathy in association with eating disorders are often of higher sev...

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Published inMedicina (Buenos Aires) Vol. 74; no. 3; pp. 222 - 224
Main Authors Vadalá, Sabrina, Pellegrini, Débora, Verdaguer, María Fernanda, Schrappe, Marcela, Alvarez, José, Bruetman, Julio E
Format Journal Article
LanguageSpanish
Published Argentina 2014
Subjects
Alcoholism
Anorexia Nervosa - complications
Female
Heart Ventricles - diagnostic imaging
Humans
Middle Aged
Radionuclide Imaging
Stress, Psychological - complications
Takotsubo Cardiomyopathy - etiology
Tobacco Use
Ventricular Function, Left
Water-Electrolyte Imbalance - complications
stress
takotsubo
anorexia nervosa
cardiomyopathy
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Summary:We report the case of a woman with anorexia nervosa who developed takotsubo cardiomyopathy triggered by emotional stress and electrolyte disturbances. The patient improved with conservative management. Descriptions of stress-cardiomyopathy in association with eating disorders are often of higher severity and related to QT prolongation because of electrolyte abnormalities, ventricular arrhythmias and hypoglycemia. A review of cardiovascular compromise in patients with anorexia nervosa is performed.
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ISSN:0025-7680