[Severe bradycardia in an asymptomatic young subject: is there an indication to permanent cardiac pacing?].
Bradycardic effects of severe weight loss are well known like those observed in anorexia nervosa resulting from an increase in vagal tone associated with a low calorie-protein diet. We here report the case of a 19-year-old patient with asymptomatic severe bradycardia, which developed after voluntary weight loss of more than 30 kg during a few months. In absence of symptoms, ventricular arrhythmia or structural heart disease, and owing to normal ventricular function, no permanent pacemaker implantation was undertaken. After a follow-up of more than 15 years, clinical conditions are stable, the patient is asymptomatic and bradycardic, and no changes in weight are reported.
Iraghi
Gabriele
G
Divisione di Cardiologia, ASL 14 Omegna, Ospedale di Verbania, Verbania.
Perucca
Antonello
A
Parravicini
Umberto
U
Dellavesa
Pierfranco
P
Paino
Anna Maria
AM
Vegis
Daniela
D
Pardo
Nicolò Franchetti
NF
Zenone
Franco
F
Bielli
Massimo
M
Paffoni
Paola
P
Maffè
Stefano
S
Zanetta
Marco
M
D000328:Adult; D000628:Aminophylline / Q000008:administration & dosage / Q000627:therapeutic use; D000856:Anorexia Nervosa / Q000150:complications; D001919:Bradycardia / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology / Q000628:therapy; D002316:Cardiotonic Agents / Q000008:administration & dosage / Q000627:therapeutic use; D004562:Electrocardiography; D015716:Electrocardiography, Ambulatory; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial; D013997:Time Factors; D015431:Weight Loss
D002316:Cardiotonic Agents; D000628:Aminophylline