Cardiovascular complications during prolonged starvation
1979
Rose, Marvin | Greene, Robert
Prolonged starvation is an extreme and effective treatment of obesity. In otherwise healthy persons, cardiovascular complications of this treatment have rarely been reported. Recently a number of cardiac deaths have been associated with fasting modified by liquid protein supplementation. The case of a 26-year-old woman is reported who developed biventricular congestive heart failure after having fasted for 4 months without protein supplementation. Examination of an endomyocardial biopsy specimen showed a nonspecific myocarditis similar to the pathological findings in users of the liquid protein modified diets. It is concluded that serious cardiac damage and death may occur in patients who undertake prolonged fast with or without liquid protein supplementation.
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