Stress (Takotsubo) cardiomyopathy in a patient with anorexia nervosa
Vadalá, S.; Pellegrini, D.éb.; Verdaguer, M.Ãa.F.; Schrappe, M.; Alvarez, J.é; Bruetman, J.E.
Medicina 74(3): 222-224
2014
ISSN/ISBN: 0025-7680 PMID: 24918671 Document Number: 678416
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.