McCallum Kim, Bermudez Ovidio, Ohlemeyer Chris, Tyson Edward, Portilla Maria, Ferdman Barbara
Washington University School of Medicine, and McCallum Place, St. Louis, Missouri, USA.
Eat Disord. 2006 Jan-Feb;14(1):73-80. doi: 10.1080/10640260500403915.
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.
神经性厌食症患者中有5%至20%会死于该疾病。其中一半患者死于医学并发症（斯坦哈弗森，2002年）。营养不良、脱水和电解质异常可能通过诱发心力衰竭或致命性心律失常而导致死亡。患者及其家属通常会要求医生评估营养不良和清除行为的急性及持续风险。目前，对医疗损害的担忧往往决定或影响饮食失调患者医疗和精神治疗的保险覆盖范围。用于指导临床医生进行评估、持续监测或治疗的已发表数据非常有限。令人惊讶的是，对于心脏参数的持续评估建议或常见检查结果的临床意义，目前尚无共识。
