Cardiac changes in anorexia nervosa

Cardiol Young. 2016 Apr;26(4):623-8. doi: 10.1017/S104795111500267X. Epub 2016 Jan 14.

Abstract

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.

Methods: A comprehensive literature review on cardiac changes in anorexia nervosa was carried out.

Results: There are structural, functional, and rhythm-type changes that occur in patients with anorexia nervosa. These become progressively significant as ongoing weight loss occurs.

Conclusion: 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.

Keywords: Anorexia nervosa; bradycardia; cardiovascular; malnutrition; ventricular.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Anorexia Nervosa / complications*
  • Heart Diseases / etiology*
  • Humans