Gloss AG, Lijtszain SC, Salazar E, Schnaas AFJ, Parra LB, Vargas BJ

Language: Spanish
References: 10
Page: 616-620
PDF size: 270.81 Kb.

ABSTRACT

Woman of 17 years of age with anorexia nervosa diagnosed a few years ago, manifested by poor food ingestion and use of laxatives. No previous medical problems were referred, she did not smoke or drink alcoholic beverages and denied the use of illicit drugs. At admission to emergency room she referred asthenia, adinamia, dizziness, weakness and blurred vision. Vital signs blood preassure 70/40 mmHg, cardiac rate 42 per minute, respiratory rate 12 per minute, oxygen saturation 72%, temperature 34°C. She was cachectic, without abnormalities on respiratory exam. Her cardiac exam showed heart sounds diminished in intensity, rhythmic, with holosystolic murmur heard better at mitral focus. Abdomen without pathologic signs. Hypotrophic extremities with loss of hair in pubis an axillary regions, capillary filling was 5 seconds. Electrocardiogram: sinus rhythm, cardiac rate 50 per minute, electrical axis 0-90°, QTc 547. Chest x ray without abnormalities. Transthoracic echocardiogram with mitral prolaps with regurgitation. Elevation of diastolic final pressure of the left ventricle. Thickness of the wall of the left ventricle diminished (4-5mm), FeVI 35% and cardiac output 1,700ml. The patient is referred to an specialized center where they repeated an echocardiogram months after re-feeding period which reported FeVI 64% with thicknes of ventricular walls in normal ranges.

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