Yahalom Malka, Koren Ofir, Rozner Ehud, Turgeman Yoav
Heart Institute, HaEmek Medical Center, Afula, Israel.
Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel.
Int J Angiol. 2019 Jun;28(2):145-146. doi: 10.1055/s-0038-1666848. Epub 2018 Jul 18.
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.
减肥手术后不遵守维生素和矿物质补充方案可能会导致真正的元素缺乏。其中，锌和硒缺乏与心脏并发症密切相关，如心肌纤维化、心力衰竭和心律失常。我们描述了一名30岁女性，产后6周，减肥手术后5年，因呼吸困难、心力衰竭的临床证据以及超声心动图显示左心室收缩功能降低而入住心内科。标准抗心力衰竭方案显示益处不大。在治疗中添加锌补充剂可导致临床和超声心动图显著改善。
