儿童心源性厌食与体重过低：病例报告
Cardiogenic anorexia and underweighting in a child: case report.
作者信息
Poghosyan H R, Danoyan A B, Hovakimyan T B, Kartoyan Z E, Davtyan K V
机构信息
Department of Cardiac Arrhythmology, Astghik Medical Center, Daniel Varujan 28/1 Yerevan, Armenia.
Heart Rhythm and Conduction Disorder Department, National Medical Research Center for Preventive Medicine, Ministries Healthcare Russian Federation, Petroverigskiy Lane 10, Moscow, Russia.
出版信息
Eur Heart J Case Rep. 2018 Apr 17;2(2):yty047. doi: 10.1093/ehjcr/yty047. eCollection 2018 Jun.
INTRODUCTION
In this case, we present a child with a diagnosis of anorexia and no known cardiac disease, who was referred to our clinic for a routine cardiac monitoring. 'Asymptomatic' high degree of atrioventricular block (AVB) was revealed. She underwent successful pacemaker (PM) implantation and losing of the weight stopped.
CASE PRESENTATION
In this case, the abrupt AVB with more than 6 s ventricular pauses without escape rhythm during the day-time most possible is a type of neurally mediated AVB which was presented by anorexia, underweighting, and refusing to eat in a 12-year-old girl. All symptoms disappeared after PM implantation, and weight gain was recorded during 6 months of follow-up.
DISCUSSION
The causal link between AVB and anorexia is discussed. In this case, patient's eating disorder was related to her AV conduction abnormality. The main reason of this case report is to emphasize, that in children with unexplained anorexia and underweighting cardiogenic origin must be excluded.
引言
在本病例中，我们介绍了一名被诊断为厌食症且无已知心脏病的儿童，她被转诊至我们的诊所进行常规心脏监测。结果发现了“无症状”的高度房室传导阻滞（AVB）。她成功接受了起搏器（PM）植入，体重减轻也停止了。
病例介绍
在本病例中，一名12岁女孩白天突然出现房室传导阻滞，心室停搏超过6秒且无逸搏心律，最有可能是一种由厌食症、体重过轻和拒食引起的神经介导性房室传导阻滞。植入起搏器后所有症状均消失，随访6个月期间体重增加。
讨论
讨论了房室传导阻滞与厌食症之间的因果关系。在本病例中，患者的饮食失调与她的房室传导异常有关。本病例报告的主要目的是强调，对于不明原因的厌食症和体重过轻的儿童，必须排除心源性病因。
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