A Case of Profound Bradycardia in Endurance Athlete with Severe Anorexia Nervosa

We present a case of a 54-year-old woman with asymptomatic bradycardia who was referred for consideration of a pacemaker for profound chronic sinus bradycardia (heart rate is 33 beats per minute). Further, history and physical revealed a self-described endurance athlete with severe anorexia nervosa...

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Bibliographic Details
Published in:Case reports in cardiology 2022-11, Vol.2022, p.1-6
Main Authors: Pueringer, John, Cinderella, Joseph, Treuth, M. Greg
Format: Article
Language:English
Subjects:
Anorexia
Athletes
Atrophy
Body mass index
Cardiac arrhythmia
Cardiac stress tests
Case Report
Case reports
Electrocardiography
Electrolytes
Exercise
Glucose
Heart rate
Hypoglycemia
Mental disorders
Metabolism
Mitral valve prolapse
Pacemakers
Patients
Sinuses
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Summary:We present a case of a 54-year-old woman with asymptomatic bradycardia who was referred for consideration of a pacemaker for profound chronic sinus bradycardia (heart rate is 33 beats per minute). Further, history and physical revealed a self-described endurance athlete with severe anorexia nervosa (AN). Background. Anorexia nervosa and endurance training are known contributors to bradycardia; however, profound asymptomatic sinus bradycardia in the 20-30 beats per minute is underdocumented in the literature and not a common presentation in any setting. The decision to implant a permanent pacemaker could potentially lead to further physical and psychological repercussions in such a frail patient.
ISSN:2090-6404
2090-6412
DOI:10.1155/2022/6589758