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Keywords:

  • coronary atherosclerosis;
  • atherosclerosis;
  • anorexia nervosa;
  • eating disorders;
  • mortality

Abstract

Background

Chest pain is a common complaint in patients with anorexia nervosa (AN). Of those who experience chest pain, about 20% meet the diagnostic criteria for typical or atypical angina.

Methods

We compared the intima-medial thickness (IMT) of the carotid artery measured by ultrasound in AN with controls and found no difference.

Results and Discussion

Although clinically relevant atherosclerosis can occur in patients with a normal IMT, there is a strong correlation between carotid IMT and coronary atherosclerosis. This suggests that an atherosclerotic origin of chest pain in AN patients is unlikely. © 2003 by Wiley Periodicals, Inc. Int J Eat Disord 34: 375–377, 2003.