A Case of Anorexia Nervosa Complicated With Strongly Suspected Stress-Induced Cardiomyopathy and Mural Thrombus.
10.4070/kcj.2011.41.10.615
- Author:
Kyung Hee KIM
1
;
Ho Joong YOUN
;
Wook Hyun LEE
;
Jin Suk KIM
;
Jae Gyung KIM
;
Ha Wook PARK
;
Jinsoo MIN
;
Gee Hee KIM
;
Hae Ok JUNG
Author Information
1. Division of Cardiology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. younhj@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Stress cardiomyopathy;
Anorexia nervosa;
Thrombosis
- MeSH:
Anorexia;
Anorexia Nervosa;
Anxiety Disorders;
Cardiomyopathies;
Cardiovascular Diseases;
Female;
Follow-Up Studies;
Humans;
Myocardial Infarction;
Prevalence;
Risk Factors;
Stress, Psychological;
Takotsubo Cardiomyopathy;
Thrombosis;
Ventricular Dysfunction, Left
- From:Korean Circulation Journal
2011;41(10):615-617
- CountryRepublic of Korea
- Language:English
-
Abstract:
Stress-induced cardiomyopathy is a unique reversible cardiovascular disease precipitated by acute emotional or physical stress. It is associated with a high prevalence of chronic anxiety disorder that precedes the onset of cardiomyopathy, as well as comorbid cardiovascular risk factors that are similar to the ST segment elevation of myocardial infarction. A thirty-five-year-old woman suffering from anorexia nervosa visited our hospital complaining of severe general weakness. She was diagnosed with stress-induced cardiomyopathy and mural thrombus using a transthoracic echocardiogram. Therefore, she was given anticoagulation therapy and nutrition with immediate psychiatric interventions. After two weeks of treatment, the follow-up echocardiogram indicated a significant improvement of the left ventricular dysfunction and mural thrombus.