How should the clinician evaluate and manage the cardiovascular complications of anorexia nervosa?

Abstract:

:Five to twenty percent of patients with anorexia nervosa die from their illness. One half of those patients die of medical complications (Steinhavsen, 2002). Malnutrition, dehydration, and electrolyte abnormalities may precipitate death by inducing heart failure or fatal arrhythmias. Patients and their families commonly call upon physicians to evaluate acute and ongoing risks of malnutrition and purging behaviors. Concerns about medical compromise currently tend to determine or influence insurance coverage of medical and psychiatric treatment of patients with eating disorders. There is very limited published data to guide clinicians in the evaluation, ongoing monitoring, or treatment. Surprisingly, no consensus exists regarding recommendations for either the ongoing evaluation of cardiac parameters or the clinical implications of common findings.

journal_name

Eat Disord

journal_title

Eating disorders

authors

McCallum K,Bermudez O,Ohlemeyer C,Tyson E,Portilla M,Ferdman B

doi

10.1080/10640260500403915

subject

Has Abstract

pub_date

2006-01-01 00:00:00

pages

73-80

issue

1

eissn

1064-0266

issn

1532-530X

pii

UGP1XK676584R214

journal_volume

14

pub_type

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