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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abnormal EKG And ALT Levels While Having An Eating Disorder?

My 16 year old daughter has been suffering from a severe eating disorder for 4 years. She just had an abnormal EKG. It showed incomplete rt. bundle block pattern and her labs show low ALT at 10 and low alkaline phos. at 106. We are trying to get her into a residential eating disorder hospital. I am reading that she could have already had a heart attack. She is scheduled for an echo but it isn t for 11 days. I am worried that she isn t gonna live to get the treatment she needs
Fri, 7 Jul 2017
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Pediatrician 's  Response
Normal levels of ALT ranges from about 7-56 IU/L. Normal levels of ALP ranges from 44 to 147 IU/L. In your child values of both ALP and ALT are within NORMAL range.

Right bundle branch block (RBBB) in children has been associated with cardiac surgery, cardiomyopathy, myocarditis, congestive heart failure, right ventricular systolic dysfunction, atrial septal defect (ASD), Ebstein anomaly etc. To find out the exact CAUSE of RBBB your doctor has advised Echocardiography.

I don't think this problem has anything to do with eating disorder from which your child is suffering.

Isolated RBBB is not fatal. It is usually considered benign condition. So you need not worry so much. After Echocadiography your doctor will determine the cause of RBBB and will treat accordingly.
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What Causes Abnormal EKG And ALT Levels While Having An Eating Disorder?

Normal levels of ALT ranges from about 7-56 IU/L. Normal levels of ALP ranges from 44 to 147 IU/L. In your child values of both ALP and ALT are within NORMAL range. Right bundle branch block (RBBB) in children has been associated with cardiac surgery, cardiomyopathy, myocarditis, congestive heart failure, right ventricular systolic dysfunction, atrial septal defect (ASD), Ebstein anomaly etc. To find out the exact CAUSE of RBBB your doctor has advised Echocardiography. I don t think this problem has anything to do with eating disorder from which your child is suffering. Isolated RBBB is not fatal. It is usually considered benign condition. So you need not worry so much. After Echocadiography your doctor will determine the cause of RBBB and will treat accordingly.