title: Tako-tsubo cardiomyopathy complicated by recurrent torsade de pointes in a patient with anorexia nervosa.
abstract: We report the case of a 57-year-old woman with anorexia nervosa showing evidence of "tako-tsubo" cardiomyopathy complicated by several syncopes due to recurrent episodes of torsades de pointes. Prolongation of QT interval and QT dispersion have been reported both in the "tako-tsubo" cardiomyopathy and in anorexia nervosa. The QT prolongation and the QT dispersion has been linked as risk indicators for sudden cardiac death. The combination of "tako-tsubo" cardiomyopathy with a condition associated with the prolongation of QT and/or with an increase of QT dispersion, such as anorexia nervosa, makes the acute and subacute prognosis of this disease much more severe than usual.
authors.affiliation: Division of Cardiology, "San Giuseppe Moscati" Hospital, Avellino, Italy. francesco.rotondi@tin.it
authors.forename: Francesco
authors.initials: F
authors.lastname: Rotondi
authors.forename: Fiore
authors.initials: F
authors.lastname: Manganelli
authors.forename: Tonino
authors.initials: T
authors.lastname: Lanzillo
authors.forename: Fiore
authors.initials: F
authors.lastname: Candelmo
authors.forename: Emilio Di
authors.initials: ED
authors.lastname: Lorenzo
authors.forename: Luciano
authors.initials: L
authors.lastname: Marino
authors.forename: Giovanni
authors.initials: G
authors.lastname: Stanco
mesh_terms: D000856:Anorexia Nervosa / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology; D005260:Female; D006801:Humans; D008875:Middle Aged; D012008:Recurrence; D054549:Takotsubo Cardiomyopathy / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology; D016171:Torsades de Pointes / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology