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Cardiac Complications of Protein-Sparing Modified Fasting
Capt Jerry M. Brown, MC;
Maj Joseph F. Yetter, MC;
Lt Col Melvin J. Spicer, MC;
Capt Jack D. Jones, MC
JAMA. 1978;240(2):120-122.
Abstract
Cardiovascular abnormalities developed in a patient during a proteinsparing modified fasting diet. Syncope was the complaint at the time of examination. Hypotension, persistent QTc interval prolongation, and a low QRS voltage were observed before the development of refractory ventricular tachycardia. At autopsy, antemortem thrombi were attached to the left ventricular endocardium and a fenestrated aortic valvule. Strick proteinsparing modified fasting is not without risk of sudden death even with close medical supervision.
(JAMA 240:120-122, 1978)
Author Affiliations
USA; USA; USA; USA
From the Departments of Medicine (Drs Brown and Spicer) and Pathology (Drs Yetter and Jones), William Beaumont Army Medical Center, El Paso, Tex.
Footnotes
The opinions expressed herein are those of the authors and do not necessarily reflect those of the US Army or Department of Defense.
Reprint requests to Department of Medicine, William Beaumont Army Medical Center, El Paso, TX 79920 (Dr Brown).
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