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Keywords:

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

Abstract

Objective:

A case of acute myocardial infarction (AMI) in a patient with anorexia nervosa is presented.

Method:

Clinlcal 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. Int J Eat Disord 2011. © 2010 by Wiley Periodicals, Inc.