Brown J M, Yetter J F, Spicer M J, Jones J D
JAMA. 1978 Jul 14;240(2):120-2.
Cardiovascular abnormalities developed in a patient during a protein-sparing 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 protein-sparing modified fasting is not without risk of sudden death even with close medical supervision.
一名患者在进行蛋白质节省型改良禁食饮食期间出现心血管异常。检查时主诉为晕厥。在难治性室性心动过速发生前，观察到低血压、QTc间期持续延长和QRS波低电压。尸检时，生前血栓附着于左心室心内膜和有小孔的主动脉瓣。即使在密切医疗监督下，严格的蛋白质节省型改良禁食也并非没有猝死风险。
