Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
CASE REPORTS
Tako-tsubo Cardiomyopathy Complicated by Recurrent Torsade de Pointes in a Patient with Anorexia Nervosa
Francesco RotondiFiore ManganelliTonino LanzilloFiore CandelmoEmilio Di LorenzoLuciano MarinoGiovanni Stanco
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JOURNALS OPEN ACCESS

2010 Volume 49 Issue 12 Pages 1133-1137

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Abstract

We report the case of a 57-year-old woman with anorexia nervosa showing evidence of "tako-tsubo" cardiomyopathy complicated by several syncopes due to recurrent episodes of torsades de pointes. Prolongation of QT interval and QT dispersion have been reported both in the "tako-tsubo" cardiomyopathy and in anorexia nervosa. The QT prolongation and the QT dispersion has been linked as risk indicators for sudden cardiac death. The combination of "tako-tsubo" cardiomyopathy with a condition associated with the prolongation of QT and/or with an increase of QT dispersion, such as anorexia nervosa, makes the acute and subacute prognosis of this disease much more severe than usual.

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© 2010 by The Japanese Society of Internal Medicine
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