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Mitral Valve Prolapse in Anorexia Nervosa

DAVID G. MEYERS, M.D.; HELEN STARKE, M.D.; PAUL H. PEARSON, M.D., M.P.H.; and MARLENE K. WILKEN, R.N., M.N.
[+] Article and Author Information

▸Requests for reprints should be addressed to David G. Meyers, M.D.; Section of Cardiology, Department of Internal Medicine, University of Nebraska Medical Center, 42nd and Dewey Avenues; Omaha, NE 68105.


University of Nebraska Medical Center; Omaha, Nebraska


Ann Intern Med. 1986;105(3):384-386. doi:10.7326/0003-4819-105-3-384
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This excerpt has been provided in the absence of an abstract.

Mitral valve prolapse occurs frequently in patients with anorexia nervosa (1, 2). We have confirmed this association and identified one of its causes.

We examined 28 consecutive female patients who met the diagnostic criteria for anorexia nervosa (3): weight loss of more than 25%, refusal to maintain weight, intense fear of obesity, distorted body image, and absence of organic disease causing weight loss. Twenty-eight women of normal weight were selected as controls. Patients and controls were matched by age (mean ±SD, 22 ±8 compared with 21+4 yrs) and height (157 ±7 compared with 159 ±6 cm). Weights differed between the

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