Author/Authors :
O’Neil, Jessica Department of Medicine - Massachusetts General Hospital, Massachusetts, USA , Mazumder, Soumyaa Harvard Medical School, Massachusetts, USA , Yoerger Sanborn, Danita Department of Medicine - Massachusetts General Hospital, Massachusetts, USA , Wu, Samantha Department of Medicine - Massachusetts General Hospital, Massachusetts, USA
Abstract :
There are a variety of cardiac complications of anorexia nervosa including arrythmias, valvopathies, and myopathies. Spontaneous
coronary artery dissection (SCAD) has not been widely reported among this patient population. This case report describes a
middle-aged female with severe anorexia nervosa, who presented after being found unconscious, and was later diagnosed with
SCAD. A literature review revealed one previous case of SCAD in a patient with anorexia nervosa and prompted a discussion of
a series of possible predisposing factors for SCAD in this patient population. Patients with anorexia nervosa may be at increased
risk for SCAD due to their complex nutritional and endocrine imbalances. This case highlights a possible underdiagnosed
cardiac complication of anorexia nervosa.
