Cardiovascular effects of anorexia nervosa

Recognizing, managing medical consequences of eating disorders in primary care

“…Sinus bradycardia (< 60 bpm) and hypotension are common cardiac manifestations of starvation. 13 Bradycardia has been attributed to an adaptive increase in parasympathetic vagal tone. 14 QTc prolongation is also seen in patients with malnutrition.…”

Family-based treatment for adolescent anorexia nervosa: A promising approach?

“……”

Psychological and metabolic risk factors in older adults with a previous history of eating disorder: A cross‐sectional study from the Predimed‐Plus study

“…Some altered and inappropriate eating behaviours, such as lower eating frequency (Ritchie, 2012), eating meals irregularly and meal skipping (Roehrig et al., 2009), gorging eating pattern or faster eating (Kral, 2001), have been related with increased cardiovascular risk and MetS (Gibson et al., 2019; Gleaves et al., 2000; Winston & Stafford, 2000), even at the genetic level (Watson et al., 2019). In adult cases of bulimia nervosa (BN) and binge eating disorder (BED), binging episodes have been highlighted as a factor with an elevated risk for MetS, associated with high body mass index (BMI) and high blood pressure (Abbott et al., 2018; Blom et al., 2015; Hudson et al., 2010; Klatzkin et al., 2015; Roehrig et al., 2009; Udo et al., 2014).…”

“…Regarding the different components of MetS and their relationship with EDs, abdominal OB is mostly related to BN and BED, being considered as a strong risk factor for MetS and other associated diseases (e.g., type 2 diabetes) in middle‐aged patients (Kalra, 2013; Pappachan & Viswanath, 2017; Toplak et al., 2019; Udo et al., 2014) in comparison with anorexia nervosa (AN) (Manna & Jain, 2015). Similarly, blood pressure decrease is described as a medical complication among EDs, especially referred to AN, usually secondary to chronic volume depletion and orthostatic changes (Winston & Stafford, 2000). Nevertheless, those EDs related to high BMI (i.e.…”