Tako-tsubo cardiomyopathy complicated by recurrent torsade de pointes in a patient with anorexia nervosa.
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.
Rotondi
Francesco
F
Division of Cardiology, "San Giuseppe Moscati" Hospital, Avellino, Italy. francesco.rotondi@tin.it
Manganelli
Fiore
F
Lanzillo
Tonino
T
Candelmo
Fiore
F
Lorenzo
Emilio Di
ED
Marino
Luciano
L
Stanco
Giovanni
G
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