title: [Severe bradycardia in an asymptomatic young subject: is there an indication to permanent cardiac pacing?].
abstract: 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.
authors.affiliation: Divisione di Cardiologia, ASL 14 Omegna, Ospedale di Verbania, Verbania.
authors.forename: Gabriele
authors.initials: G
authors.lastname: Iraghi
authors.forename: Antonello
authors.initials: A
authors.lastname: Perucca
authors.forename: Umberto
authors.initials: U
authors.lastname: Parravicini
authors.forename: Pierfranco
authors.initials: P
authors.lastname: Dellavesa
authors.forename: Anna Maria
authors.initials: AM
authors.lastname: Paino
authors.forename: Daniela
authors.initials: D
authors.lastname: Vegis
authors.forename: Nicolò Franchetti
authors.initials: NF
authors.lastname: Pardo
authors.forename: Franco
authors.initials: F
authors.lastname: Zenone
authors.forename: Massimo
authors.initials: M
authors.lastname: Bielli
authors.forename: Paola
authors.initials: P
authors.lastname: Paffoni
authors.forename: Stefano
authors.initials: S
authors.lastname: Maffè
authors.forename: Marco
authors.initials: M
authors.lastname: Zanetta
mesh_terms: 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
chemical_list: D002316:Cardiotonic Agents; D000628:Aminophylline