Background
Takotsubo cardiomyopathy, also known as “apical ballooning syndrome”, is generally precipitated by endogenous or exogenous stress, and eating disorders have a variety of physical complications.
Case presentation
We present a case involving a 37-year-old Japanese female with eating disorders. She was admitted because of emaciation with shortness of breath and tiredness, and her weight was 30.0 kg (BMI 10.5 kg/m2) at this admission. On the afternoon of the first hospital day, a simple measurement caused hypoglycemia of 20 mg/dL, and she lost consciousness. On the night of the second hospital day, electrocardiogram showed negative T waves in II, III, aVf, and V1-6. Ultrasound echo showed hypokinesia at the apex of the heart and hypercontraction at the base of the heart. The left ventricular ejection fraction was 20%. Rest and oxygen administration gradually improved her cardiac function; the left ventricular ejection fraction also improved to 50% based on echocardiography. Finally, her weight increased by 43kg (BMI 15.2 kg/m2) with psychiatric treatment, and she was discharged.
Conclusions
The present case shows the clinical features of Takotsubo cardiomyopathy induced by a hypoglycemic event in addition to underlying anorexia nervosa.
Figure 1
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Posted 23 Mar, 2021
Invitations sent on 09 Apr, 2021
On 18 Mar, 2021
On 18 Mar, 2021
On 18 Mar, 2021
On 18 Mar, 2021
Posted 23 Mar, 2021
Invitations sent on 09 Apr, 2021
On 18 Mar, 2021
On 18 Mar, 2021
On 18 Mar, 2021
On 18 Mar, 2021
Background
Takotsubo cardiomyopathy, also known as “apical ballooning syndrome”, is generally precipitated by endogenous or exogenous stress, and eating disorders have a variety of physical complications.
Case presentation
We present a case involving a 37-year-old Japanese female with eating disorders. She was admitted because of emaciation with shortness of breath and tiredness, and her weight was 30.0 kg (BMI 10.5 kg/m2) at this admission. On the afternoon of the first hospital day, a simple measurement caused hypoglycemia of 20 mg/dL, and she lost consciousness. On the night of the second hospital day, electrocardiogram showed negative T waves in II, III, aVf, and V1-6. Ultrasound echo showed hypokinesia at the apex of the heart and hypercontraction at the base of the heart. The left ventricular ejection fraction was 20%. Rest and oxygen administration gradually improved her cardiac function; the left ventricular ejection fraction also improved to 50% based on echocardiography. Finally, her weight increased by 43kg (BMI 15.2 kg/m2) with psychiatric treatment, and she was discharged.
Conclusions
The present case shows the clinical features of Takotsubo cardiomyopathy induced by a hypoglycemic event in addition to underlying anorexia nervosa.
Figure 1
Figure 2
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