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January 1, 2005Internal MedicineOpen Access

Ampulla Cardiomyopathy after Hypoglycemia in Three Young Female Patients with Anorexia Nervosa

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Population

3 young female patients with severe anorexia nervosa who experienced hypoglycemic coma.

Design

Case_series

Follow-up

Up to 4 months

Authors

RORina OhwadaMHMari HottaHKHironari Kimura

Discussion

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Overview

Hypoglycemia may induce reversible cardiomyopathy in anorexia nervosa; case reports leave causal link and generalizability open.

Structured PICO

P
Population
3 young female patients (ages 17, 25, and 33) with severe anorexia nervosa (weights 22.5-24.0 kg) who experienced hypoglycemic coma.
O
Outcome
Development of ampulla cardiomyopathy (Takotsubo-like cardiomyopathy) or myocardial stunningsurrogate

Hypoglycemia can precipitate ampulla (Takotsubo-like) cardiomyopathy in severely malnourished patients with anorexia nervosa.

Limitations

  • Small sample size (3 cases)
  • Echocardiography was performed too late to detect abnormal findings in cases 2 and 3

Cite This Study

Ohwada et al. (2005) studied this question.

synapsesocial.com/papers/6a7b0d458d250a4360f44b9ahttps://doi.org/10.2169/internalmedicine.44.228
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