Cardiac Findings Among Adolescents on First Hospital Admission for Medical Complications of Anorexia Nervosa

Slivka, Melissa; Buckelew, Sara M.; Shafer, Mary–Ann; Moscicki, Anna‐Barbara; Garber, Andrea K.

doi:10.1016/j.jadohealth.2008.10.147

Cited by 2 publications

(1 citation statement)

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“…In the only study to examine the subtypes of anorexia nervosa, no differences in prevalence were noted based on restricting compared with binge/ purge subtype. 29 Most studies have suggested a relation to low body mass index, 16,29,73,75,79 significant weight loss, 75 and duration of illness, 74 but recent studies have not been as consistent. 29,33 In a recent study of 173 adolescents with anorexia nervosa, Kastner et al 29 showed an association with low body mass index, but this was a small effect size (n 2 = 0.034), and Oflaz et al, 33 in a cross-sectional study of 40 female patients with anorexia nervosa, found no relation to body mass index at all.…”

Section: Pericardial Effusionmentioning

confidence: 99%

Cardiac changes in anorexia nervosa

2016

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Section: Pericardial Effusionmentioning

confidence: 99%

Cardiac changes in anorexia nervosa

2016

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Echocardiographic findings in adolescents with anorexia nervosa at beginning of treatment and after weight recovery

Kastner

Salbach‐Andrae

Renneberg

et al. 2011

Eur Child Adolesc Psychiatry

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Anorexia nervosa (AN) is an eating disorder with somatic complications. The aim of the study was to analyse echocardiographic abnormalities in patients with AN at initial examination and after weight restoration. A total of 173 consecutively admitted adolescents (aged 12-17 years), diagnosed with DSM-IV AN (307.1) were evaluated in a child and adolescent psychiatric department of a major university hospital from December 1997 to August 2008. In addition, 40 healthy adolescents of the same age with normal weight were examined. In patients with AN, 34.7% had a pericardial effusion (PE) which was clinically silent. In contrast, none of the controls presented with PE (p < 0.001). No differences across AN subtypes were observed. Patients with PE showed significantly lower body mass index (BMI) (p = 0.016) than patients without PE. They had more prominent low-T3 syndrome (p = 0.003) and longer duration of hospitalisation (p = 0.008) after controlling for BMI at admission. Remission of PE was observed in 88% of the patients after weight restoration. Left ventricular end-diastolic and end-systolic dimensions in AN were significantly lower than in controls (p < 0.001). There were no differences in interventricular septum thickness, posterior wall thickness and fractional shortening. This report indicates that adolescents with AN show cardiac abnormalities in comparison to healthy young women. Furthermore, PE is a frequent cardiac complication in patients with AN and it is associated with BMI, low T3 serum levels and duration of hospitalisation.

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Cardiac Findings Among Adolescents on First Hospital Admission for Medical Complications of Anorexia Nervosa

Cited by 2 publications

References 0 publications

Cardiac changes in anorexia nervosa

Cardiac changes in anorexia nervosa

Echocardiographic findings in adolescents with anorexia nervosa at beginning of treatment and after weight recovery

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