Trastornos de la conducta alimentaria: alteraciones cardiovasculares al ingreso y evolución a 3 meses

Background: Cardiovascular complications can occur in up to 80% of adolescent patients with eating disorders (ED) and account for 30% of their mortality. Aim: To evaluate cardiovascular complications in adolescents with ED and their evolution after refeeding. Patients and Methods: In adolescents...

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Autores principales:	Marín B.,Verónica, Rybertt,Vivian, Briceño,Ana M., Abufhele,Marcela, Donoso,Pascuala, Cruz,Macarena, Silva,Alejandra, Palacios,Carolina, Cea,Lorena, Sommer,Katerina, Labbé,Mariana
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2019
Materias:	Adolescent Medicine Bradycardia Cardiovascular Diseases Feeding and Eating Disorders
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000100047
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spelling	oai:scielo:S0034-988720190001000472019-04-03Trastornos de la conducta alimentaria: alteraciones cardiovasculares al ingreso y evolución a 3 mesesMarín B.,VerónicaRybertt,VivianBriceño,Ana M.Abufhele,MarcelaDonoso,PascualaCruz,MacarenaSilva,AlejandraPalacios,CarolinaCea,LorenaSommer,KaterinaLabbé,Mariana Adolescent Medicine Bradycardia Cardiovascular Diseases Feeding and Eating Disorders Background: Cardiovascular complications can occur in up to 80% of adolescent patients with eating disorders (ED) and account for 30% of their mortality. Aim: To evaluate cardiovascular complications in adolescents with ED and their evolution after refeeding. Patients and Methods: In adolescents with ED admitted to treatment, we assessed the nutritional status, weight loss prior to consultation, presence of bradycardia (BC, defined as heart rate < 60 bpm), we performed an electrocardiogram (ECG) and an echocardiography and measured thyroid hormones. Results: We studied 53 women aged 16.4 ± 2.3 years. Fifteen had a diagnosis of Anorexia Nervosa (AN), seven of Bulimia (BN), eight a not otherwise specified ED (ED-NOS), four a Binge Eating Disorder (BED), sixteen an Atypical Anorexia (AAN) and three an Atypical Bulimia (ABN). Thirty four percent were malnourished and 3.8% overweight. The most common cardiac problem was BC in 51%. In eight of 26 patients in whom an echocardiogram was done, it was abnormal. Six had a decreased ventricular mass, three a pericardial effusion and three valvular involvement. There was a significant association between bradycardia and malnutrition, weight loss and low free triiodothyronine levels. BC was significantly more common in patients with AN, but it also occurred in half of the patients with AAN and in one of three patients with other types of ED. At follow up, bradycardia significantly improved with refeeding. Conclusions: There is an association between all types of ED and bradycardia, as well as anatomical and functional cardiac anomalies.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.147 n.1 20192019-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000100047es10.4067/S0034-98872019000100047
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Adolescent Medicine Bradycardia Cardiovascular Diseases Feeding and Eating Disorders
spellingShingle	Adolescent Medicine Bradycardia Cardiovascular Diseases Feeding and Eating Disorders Marín B.,Verónica Rybertt,Vivian Briceño,Ana M. Abufhele,Marcela Donoso,Pascuala Cruz,Macarena Silva,Alejandra Palacios,Carolina Cea,Lorena Sommer,Katerina Labbé,Mariana Trastornos de la conducta alimentaria: alteraciones cardiovasculares al ingreso y evolución a 3 meses
description	Background: Cardiovascular complications can occur in up to 80% of adolescent patients with eating disorders (ED) and account for 30% of their mortality. Aim: To evaluate cardiovascular complications in adolescents with ED and their evolution after refeeding. Patients and Methods: In adolescents with ED admitted to treatment, we assessed the nutritional status, weight loss prior to consultation, presence of bradycardia (BC, defined as heart rate < 60 bpm), we performed an electrocardiogram (ECG) and an echocardiography and measured thyroid hormones. Results: We studied 53 women aged 16.4 ± 2.3 years. Fifteen had a diagnosis of Anorexia Nervosa (AN), seven of Bulimia (BN), eight a not otherwise specified ED (ED-NOS), four a Binge Eating Disorder (BED), sixteen an Atypical Anorexia (AAN) and three an Atypical Bulimia (ABN). Thirty four percent were malnourished and 3.8% overweight. The most common cardiac problem was BC in 51%. In eight of 26 patients in whom an echocardiogram was done, it was abnormal. Six had a decreased ventricular mass, three a pericardial effusion and three valvular involvement. There was a significant association between bradycardia and malnutrition, weight loss and low free triiodothyronine levels. BC was significantly more common in patients with AN, but it also occurred in half of the patients with AAN and in one of three patients with other types of ED. At follow up, bradycardia significantly improved with refeeding. Conclusions: There is an association between all types of ED and bradycardia, as well as anatomical and functional cardiac anomalies.
author	Marín B.,Verónica Rybertt,Vivian Briceño,Ana M. Abufhele,Marcela Donoso,Pascuala Cruz,Macarena Silva,Alejandra Palacios,Carolina Cea,Lorena Sommer,Katerina Labbé,Mariana
author_facet	Marín B.,Verónica Rybertt,Vivian Briceño,Ana M. Abufhele,Marcela Donoso,Pascuala Cruz,Macarena Silva,Alejandra Palacios,Carolina Cea,Lorena Sommer,Katerina Labbé,Mariana
author_sort	Marín B.,Verónica
title	Trastornos de la conducta alimentaria: alteraciones cardiovasculares al ingreso y evolución a 3 meses
title_short	Trastornos de la conducta alimentaria: alteraciones cardiovasculares al ingreso y evolución a 3 meses
title_full	Trastornos de la conducta alimentaria: alteraciones cardiovasculares al ingreso y evolución a 3 meses
title_fullStr	Trastornos de la conducta alimentaria: alteraciones cardiovasculares al ingreso y evolución a 3 meses
title_full_unstemmed	Trastornos de la conducta alimentaria: alteraciones cardiovasculares al ingreso y evolución a 3 meses
title_sort	trastornos de la conducta alimentaria: alteraciones cardiovasculares al ingreso y evolución a 3 meses
publisher	Sociedad Médica de Santiago
publishDate	2019
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000100047
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Trastornos de la conducta alimentaria: alteraciones cardiovasculares al ingreso y evolución a 3 meses

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