Abstract
Exposure to the anorectic drug fenfluramine, alone or in combination with phentermine, a noradrenergic central nervous system stimulant, has been associated with unusual cardiac valvular morphology and resultant regurgitation of the left- and right-sided heart valves. The prevalence of significant valvular disease associated with the use of these anorectic drugs is reported to be as high as 23%. Herein, we report the occurrence of multivalvular disease and pulmonary hypertension associated with fenfluramine-phentermine use, discovered in an obese 59-year-old woman before expected gastric bypass surgery.
Original language | English (US) |
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Pages (from-to) | 581-583 |
Number of pages | 3 |
Journal | Texas Heart Institute Journal |
Volume | 38 |
Issue number | 5 |
State | Published - 2011 |
Keywords
- Aortic valve insufficiency/chemically induced
- Appetite depressants/adverse effects
- Fenfluramine/adverse effects
- Heart valve diseases/chemically induced/complications/pathology
- Hypertension
- Mitral valve insufficiency/chemically induced
- Obesity/complications
- Phentermine/adverse effects
- Pulmonary/chemically induced
- Treatment outcome
- Tricuspid valve insufficiency/chemically induced
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine