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KMID : 0368120110410100615
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Korean Circulation Journal
2011 Volume.41 No. 10 p.615 ~ p.617
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A Case of Anorexia Nervosa Complicated With Strongly Suspected Stress-Induced Cardiomyopathy and Mural Thrombus
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Kim Kyung-Hee
Youn Ho-Joong
Lee Wook-Hyun
Kim Jin-Suk
Kim Jae-Gyung
Park Ha-Wook
Min Jin-Soo
Kim Gee-Hee
Jung Hae-Ok
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Abstract
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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.
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KEYWORD
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cardiomyopathy, Anorexia nervosa, Thrombosis
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