Why do individuals with anorexia die? A case of sudden death

Derman, Talia; Szabo, Christopher Paul

doi:10.1002/eat.20229

Cited by 16 publications

(12 citation statements)

References 6 publications

(7 reference statements)

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“…For example, in a case of sudden death in anorexia nervosa, some unexpected autopsy findings were reported by Derman and Szabo 18. The postmortem examination revealed multiple bilateral pulmonary thromboembolisms and bilateral calf vein thrombosis.…”

Section: Resultsmentioning

confidence: 79%

“…At least one-third of all deaths in patients with anorexia nervosa are estimated to be due to cardiac causes, mainly sudden death14,15,18…”

Section: Tablementioning

confidence: 99%

“…In many cases, death is attributed to complications (which are not always well defined) and in cases of sudden deaths autopsies do not always clarify the main cause of death. Cardiovascular complications are usually involved in these deaths 14,16–18. Although a variety of somatic alterations, cardiac arrhythmia, and acute circulatory failure have been reported in cases of sudden death among ED patients, in many cases the exact cause is not specified 14…”

Section: Introductionmentioning

confidence: 99%

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Sudden death in eating disorders

Jáuregui¹,

Jáuregui‐Lobera²

2012

VHRM

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Eating disorders are usually associated with an increased risk of premature death with a wide range of rates and causes of mortality. “Sudden death” has been defined as the abrupt and unexpected occurrence of fatality for which no satisfactory explanation of the cause can be ascertained. In many cases of sudden death, autopsies do not clarify the main cause. Cardiovascular complications are usually involved in these deaths. The purpose of this review was to report an update of the existing literature data on the main findings with respect to sudden death in eating disorders by means of a search conducted in PubMed. The most relevant conclusion of this review seems to be that the main causes of sudden death in eating disorders are those related to cardiovascular complications. The predictive value of the increased QT interval dispersion as a marker of sudden acute ventricular arrhythmia and death has been demonstrated. Eating disorder patients with severe cardiovascular symptoms should be hospitalized. In general, with respect to sudden death in eating disorders, some findings (eg, long-term eating disorders, chronic hypokalemia, chronically low plasma albumin, and QT intervals >600 milliseconds) must be taken into account, and it must be highlighted that during refeeding, the adverse effects of hypophosphatemia include cardiac failure. Monitoring vital signs and performing electrocardiograms and serial measurements of plasma potassium are relevant during the treatment of eating disorder patients.

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Section: Resultsmentioning

confidence: 79%

“…At least one-third of all deaths in patients with anorexia nervosa are estimated to be due to cardiac causes, mainly sudden death14,15,18…”

Section: Tablementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Sudden death in eating disorders

Jáuregui¹,

Jáuregui‐Lobera²

2012

VHRM

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“…Orthostatic hypotension is an increase in heart rate of 20 bpm or a blood pressure reduction of 20 mmHg in the transition from clinostatism to orthostatism; consequent to the altered functioning of the autonomic nervous system [23], can cause lipothymia, if marked may be indicative of need for hospitalization [24]. Congestive heart failure may occur in severely defiled and/or re-fed AN patients (due to excess volumes administered and/or hypokalemia and, above all, hypophosphoremia) [25][26][27].…”

Section: Cardiovascular Alterations In Eating Disordersmentioning

confidence: 99%

Cardiovascular alterations in eating disorders

Milano¹,

Capasso²

2018

Cardiovasc Disord Med

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“…Las alteraciones electrolíticas que frecuentemente acompañan a la malnutrición, actúan como condiciones sinérgicas a alteraciones eléctricas o estructurales cardíacas, o bien en los casos severos pueden ser la causa primaria de disfunción cardíaca. En los casos de anorexia nerviosa, las arritmias son la segunda causa de fallecimiento, sólo superado por el suicidio [43][44][45] .…”

Section: Historia Clínicaunclassified

Rol de la evaluación preparticipativa en adolescentes, en el diagnóstico de enfermedades cardiovasculares y prevención de muerte súbita

et al. 2010

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Screenig for cardiovascular diseases among teenagers that will engage in sport activities Promotion of physical activity must be a priority in all modern societies, but there are some persons with medical conditions that can develop serious symptoms associated with sports, that can even be fatal, such as sudden death (SD). Adolescents are the age groups with the higher level of participation in recreation or competitive sports. International studies have demonstrated that approximately 1:250.000 adolescents die during the practice of sports. Of these, 50% had a prodrome 24 hours before the event and 75% had an underlying cardiovascular disease. Therefore, adolescents should be screened for cardiovascular diseases prior to their engagement in sports. This review gives a scientific approach to this issue, usually oversized by mass media. It also analyzes and reports international governmental strategies and practical tools for the clinician that must perform this type of screening.

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Why do individuals with anorexia die? A case of sudden death

Cited by 16 publications

References 6 publications

Sudden death in eating disorders

Sudden death in eating disorders

Cardiovascular alterations in eating disorders

Rol de la evaluación preparticipativa en adolescentes, en el diagnóstico de enfermedades cardiovasculares y prevención de muerte súbita

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