Spaulding-Barclay Michael A, Stern Jessica, Mehler Philip S
1Department of Psychiatry,Eating Recovery Center,Denver,Colorado,United States of America.
Cardiol Young. 2016 Apr;26(4):623-8. doi: 10.1017/S104795111500267X. Epub 2016 Jan 14.
Introduction Anorexia nervosa is an eating disorder, which is associated with many different medical complications as a result of the weight loss and malnutrition that characterise this illness. It has the highest mortality rate of any psychiatric disorder. A large portion of deaths are attributable to the cardiac abnormalities that ensue as a result of the malnutrition associated with anorexia nervosa. In this review, the cardiac complications of anorexia nervosa will be discussed.
A comprehensive literature review on cardiac changes in anorexia nervosa was carried out.
There are structural, functional, and rhythm-type changes that occur in patients with anorexia nervosa. These become progressively significant as ongoing weight loss occurs.
Cardiac changes are inherent to anorexia nervosa and they become more life-threatening and serious as the anorexia nervosa becomes increasingly severe. Weight restoration and attention to these cardiac changes are crucial for a successful treatment outcome.
引言
神经性厌食症是一种饮食失调症,由于该疾病所特有的体重减轻和营养不良,会引发许多不同的医学并发症。它是所有精神疾病中死亡率最高的。很大一部分死亡归因于与神经性厌食症相关的营养不良所导致的心脏异常。在本综述中,将讨论神经性厌食症的心脏并发症。
对神经性厌食症患者的心脏变化进行了全面的文献综述。
神经性厌食症患者会出现结构、功能和节律类型的变化。随着体重持续减轻,这些变化会逐渐变得显著。
心脏变化是神经性厌食症所固有的,并且随着神经性厌食症日益严重,它们会变得更具生命威胁性和严重性。体重恢复以及关注这些心脏变化对于成功的治疗结果至关重要。