title: Coronary atherosclerosis in anorexia nervosa.
abstract: BACKGROUND
  Chest pain is a common complaint in patients with anorexia nervosa (AN). Of those who experience chest pain, about 20% meet the diagnostic criteria for typical or atypical angina.
  
  
  METHODS
  We compared the intima-medial thickness (IMT) of the carotid artery measured by ultrasound in AN with controls and found no difference.
  
  
  CONCLUSIONS
  Although clinically relevant atherosclerosis can occur in patients with a normal IMT, there is a strong correlation between carotid IMT and coronary atherosclerosis. This suggests that an atherosclerotic origin of chest pain in AN patients is unlikely.
authors.affiliation: Eating Disorders Program, St. Paul's Hospital, University of British Columbia, Vancouver, Canada. clbirm@interchange.ubc.ca
authors.forename: Carl Laird
authors.initials: CL
authors.lastname: Birmingham
authors.forename: Scott A
authors.initials: SA
authors.lastname: Lear
authors.forename: Jennifer
authors.initials: J
authors.lastname: Kenyon
authors.forename: Sammy Yat Man
authors.initials: SY
authors.lastname: Chan
authors.forename: G B John
authors.initials: GB
authors.lastname: Mancini
authors.forename: Jiri
authors.initials: J
authors.lastname: Frohlich
mesh_terms: D000328:Adult; D000856:Anorexia Nervosa / Q000150:complications*; D002637:Chest Pain / Q000209:etiology*; D003324:Coronary Artery Disease / Q000209:etiology*; D005260:Female; D006801:Humans