title: Cardiac complications of protein-sparing modified fasting.
abstract: Cardiovascular abnormalities developed in a patient during a protein-sparing modified fasting diet. Syncope was the complaint at the time of examination. Hypotension, persistent QTc interval prolongation, and a low QRS voltage were observed before the development of refractory ventricular tachycardia. At autopsy, antemortem thrombi were attached to the left ventricular endocardium and a fenestrated aortic valvule. Strick protein-sparing modified fasting is not without risk of sudden death even with close medical supervision.
mesh_terms: D000328:Adult; D001145:Arrhythmias, Cardiac / Q000209:etiology*; D001344:Autopsy; D003645:Death, Sudden; D004038:Diet, Reducing / Q000009:adverse effects*; D004044:Dietary Proteins / Q000008:administration & dosage*; D004562:Electrocardiography; D005215:Fasting / Q000009:adverse effects; D005260:Female; D006801:Humans; D009765:Obesity / Q000178:diet therapy*; D013923:Thromboembolism / Q000175:diagnosis; D014693:Ventricular Fibrillation / Q000209:etiology
chemical_list: D004044:Dietary Proteins