A case of anorexia nervosa with severe bradycardia

Mohd Ridzuan MOHD SAID, Mohd Shawal Faizal MOHAMAD

Cardiology Unit, Department of Medicine, UKM Medical Centre, Kuala Lumpur, Malaysia



Anorexia nervosa is an eating disorder which is associated with significant morbidity and the leading cause of mortality attributed by anorexia nervosa apart from suicide is cardiac arrest. Cardiac complications are observed due to loss of cardiac mass and initially manifests with bradycardia. We reported the case of a 15-year-old boy who presented with anorexia nervosa and severe bradycardia. Electrocardiogram showed sinus bradycardia with first-degree atrioventricular block and noted several episodes of bradycardia from 24-hours holter monitoring. With a multidisciplinary team management and improvement of his nutritional status and body weight, his bradycardia resolved.


Keywords: Anorexia nervosa, bradycardia, cardiac abnormality, arrhythmia


Correspondence author: Mohd Ridzuan MOHD SAID, Department of Medicine, Hospital Canselor Tuanku Muhriz, UKM Medical Centre, Jalan Yaacob Latiff, 56000 Cheras, Kuala Lumpur, Malaysia

E mail: ridzuan.said85@gmail.com



Brunei Int Med J. 2016; 12 (6): 202-205