Kanbur Nuray O, Goldberg Eudice, Pinhas Leora, Hamilton Robert M, Clegg Robin, Katzman Debra K
Division of Adolescent Medicine, Department of Pediatrics, The Hospital for Sick Children, University of Toronto, Toronto, Ontario M5G 1X8, Canada.
Int J Eat Disord. 2009 Sep;42(6):575-8. doi: 10.1002/eat.20647.
Anorexia nervosa (AN) can cause both functional and structural cardiac complications, including a variety of different conduction abnormalities. This is the first case report of symptomatic diurnal second-degree atrioventricular (AV) block (Mobitz Type I) in an adolescent with AN. We present a 12-year-old girl with AN, restrictor sub-type who reported cardiac symptoms during weight gain, at the time of the initial diagnosis of AV block. Second-degree AV block (Mobitz Type I) is discussed as a possible complication of the AN, as well as being an intrinsic conduction system disease.
神经性厌食症(AN)可导致功能性和结构性心脏并发症,包括多种不同的传导异常。这是首例关于患有AN的青少年出现症状性日间二度房室(AV)阻滞(莫氏I型)的病例报告。我们报告一名12岁患有AN限制型亚型的女孩,在体重增加期间、即初次诊断为AV阻滞时出现心脏症状。本文讨论了二度AV阻滞(莫氏I型)作为AN可能并发症以及作为一种内在传导系统疾病的情况。