Acute Myocardial Infarction and Anorexia Nervosa

作者：Abuzeid Wael; Glover Christopher^*

来源：International Journal of Eating Disorders, 2011, 44(5): 473-476.

DOI：10.1002/eat.20841

• anorexia nervosa
• eating disorders
• acute coronary syndrome
• acute myocardial infarction

Objective: A case of acute myocardial infarction (AMI) in a patient with anorexia nervosa is presented.
Method: Clinical records, electrocardiogram, echocardiogram and coronary angiogram data of a patient with anorexia nervosa, presenting with AMI were evaluated. A Pubmed literature search was used to review cardiac complications of anorexia nervosa.
Results: The patient presented with an anterior ST elevation AMI. She underwent emergent coronary angiography with successful reperfusion of a 100% occluded proximal left anterior descending coronary artery.
Discussion: Anorexia nervosa is an eatlng disorder affectlng mainly female adolescents. Eating disorders carry the highest mortality rate compared to other psychiatric conditions (Caslero and Frishman, Cardiol Rev 14, 227-231, 2006). It is reported that 80% of patients with an eating disorder are affected by a cardiac complication. Sudden cardiac death secondary to arrhythmia is often the cause of death in these patlents (Caslero and Frishman, Cardiol Rev 14, 227-231, 2006). AMI is rarely described as a cardiac presentation in this patient population.

• 出版日期2011-7