Anorexia nervosa and myocardial infarction.
A 39-year-old woman with long-standing anorexia nervosa was admitted to our hospital because of extreme weakness and cachexia. During a hyperalimentation therapy, she developed chest pain, revealing the electrocardiogram and cardiac enzymes a myocardial infarction of the inferior wall. We suggest that anorexia nervosa does not 'protect' against coronary atherosclerosis, and that some of the cases of sudden death could be related to myocardial ischemia.
García-Rubira
J C
JC
Coronary Care Unit, University Hospital Virgen Macarena, Seville, Spain.
Hidalgo
R
R
Gómez-Barrado
J J
JJ
Romero
D
D
Cruz Fernández
J M
JM
D000328:Adult; D000856:Anorexia Nervosa / Q000503:physiopathology* / Q000628:therapy; D002784:Cholesterol / Q000097:blood; D008076:Cholesterol, HDL / Q000097:blood; D003324:Coronary Artery Disease / Q000503:physiopathology* / Q000628:therapy; D004562:Electrocardiography; D005260:Female; D006329:Heart Conduction System / Q000503:physiopathology; D006801:Humans; D008133:Long QT Syndrome / Q000503:physiopathology / Q000628:therapy; D009203:Myocardial Infarction / Q000503:physiopathology* / Q000628:therapy; D010289:Parenteral Nutrition, Total; D014280:Triglycerides / Q000097:blood; D015430:Weight Gain / Q000502:physiology
D008076:Cholesterol, HDL; D014280:Triglycerides; D002784:Cholesterol