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Int J Angiol 2019; 28(02): 145-146
DOI: 10.1055/s-0038-1666848
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Cardiomyopathy Associated with Zinc Deficiency after Bariatric Surgery

Malka Yahalom
1   Heart Institute, HaEmek Medical Center, Afula, Israel
,
Ofir Koren
1   Heart Institute, HaEmek Medical Center, Afula, Israel
2   Rappaport Faculty of Medicine, Technion – Israel Institute of Technology, Haifa, Israel
,
Ehud Rozner
1   Heart Institute, HaEmek Medical Center, Afula, Israel
,
Yoav Turgeman
1   Heart Institute, HaEmek Medical Center, Afula, Israel
2   Rappaport Faculty of Medicine, Technion – Israel Institute of Technology, Haifa, Israel
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Publikationsdatum:
18. Juli 2018 (online)

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Abstract

Noncompliance with vitamin and mineral supplement protocol after bariatric surgery may lead to true-elements deficiency. Among them, zinc and selenium deficiencies were closely related to cardiac complications, such as myocardial fibrosis, heart failure, and arrhythmias.

We describe a 30-year-old female, 6 weeks after delivery and 5 years after bariatric surgery, who was admitted to the cardiology department because of dyspnea and clinical evidence of heart failure, as well as an echocardiogram that demonstrated reduced systolic left ventricular function. Standard antifailure regimen shows mild benefit. Zinc supplements added to treatment lead to significant clinical and echocardiographic improvement.

Keywords

cardiomyopathy - congestive heart failure - trace element deficiency - bariatric surgery - parenteral nutrition - morbid obesity - Keshan disease
 

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