title: Implantable cardioverter-defibrillator therapy in a 34-year-old patient with eating disorders and after the third sudden cardiac arrest.
abstract: Eating disorders (ED) such as anorexia nervosa and bulimia are psychiatric diseases associated with the highest mortality rate of any other psychiatric disorders. More recently, long-term outcome studies with follow-up of over 20 years report a mortality of between 15% and 18% (Casiero and Frishman, Cardiol Rev 14(5), 227, 2006). The sudden death secondary to arrhythmias is often the cause of death in these patients (Casiero and Frishman, Cardiol Rev 14(5), 227, 2006). A case of life-threatening ventricular arrhythmia (VA) in a patient with ED is presented. Clinical records (cardiologic, psychiatric), electrocardiograms, echocardiogram, coronary angiogram, cardiac magnetic resonance, and endocrine diagnostics were performed. Finally a cardioverter-defibrillator (ICD) was implanted in the patient after her third cardiac arrest. An optimal approach to antiarrhythmic therapy in such patients is a real challenge for a cardiologist.
authors.affiliation: Telecardiology Center, Institute of Cardiology, Warsaw, Poland.
authors.forename: Ewa
authors.initials: E
authors.lastname: Piotrowicz
authors.forename: Piotr
authors.initials: P
authors.lastname: Orzechowski
authors.forename: Maria
authors.initials: M
authors.lastname: Bilinska
authors.forename: Andrzej
authors.initials: A
authors.lastname: Przybylski
authors.forename: Lukasz
authors.initials: L
authors.lastname: Szumowski
authors.forename: Ryszard
authors.initials: R
authors.lastname: Piotrowicz
mesh_terms: D000328:Adult; D000856:Anorexia Nervosa / Q000150:complications*; D001145:Arrhythmias, Cardiac / Q000209:etiology* / Q000517:prevention & control; D002032:Bulimia / Q000150:complications*; D017023:Coronary Angiography; D016757:Death, Sudden, Cardiac / Q000517:prevention & control*; D017147:Defibrillators, Implantable; D004562:Electrocardiography; D005260:Female; D006801:Humans; D012008:Recurrence
keywords: ICD therapy; eating disorders; sudden cardiac arrest