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Coronary atherosclerosis in anorexia nervosa
Author(s) -
Birmingham Carl Laird,
Lear Scott A.,
Kenyon Jennifer,
Chan Sammy Yat Man,
Mancini G.B. John,
Frohlich Jiri
Publication year - 2003
Publication title -
international journal of eating disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.785
H-Index - 138
eISSN - 1098-108X
pISSN - 0276-3478
DOI - 10.1002/eat.10190
Subject(s) - anorexia nervosa , chest pain , medicine , coronary atherosclerosis , cardiology , angina , intima media thickness , artery , carotid arteries , coronary artery disease , eating disorders , myocardial infarction , psychiatry
Background Chest pain is a common complaint in patients with anorexia nervosa (AN). Of those who experience chest pain, about 20% meet the diagnostic criteria for typical or atypical angina. Methods We compared the intima‐medial thickness (IMT) of the carotid artery measured by ultrasound in AN with controls and found no difference. Results and Discussion Although clinically relevant atherosclerosis can occur in patients with a normal IMT, there is a strong correlation between carotid IMT and coronary atherosclerosis. This suggests that an atherosclerotic origin of chest pain in AN patients is unlikely. © 2003 by Wiley Periodicals, Inc. Int J Eat Disord 34: 375–377, 2003.