000			01588nas a22002417a 4500
003			OSt
005			20210315161806.0
006			m|||||r|||| 00| 0
007			ta
008			171219t2006 sp ||||| |||| 00| 0 spa |
022			_a1538-4683
040			_cSalus Infirmorum
245	0	0	_aCardiovascular Complications of Eating Disorders / _cDeena Casiero ; William H. Frishman
500			_aPDF en biblioteca
504			_aBibliografía: p. 231
520	8		_aEating disorders (anorexia nervosa and bulimia) are associated with the highest mortality rate of any psychiatric disorder. Much of this mortality and morbidity stem from cardiovascular complications such as arrhythmia related to a prolonged QTc interval and/or electrolyte disorders, hypotension, and bradycardia. Structurally, the heart in patients with eating disorders is atrophic, which may relate to longstanding hypovolemia. These patients have low cardiac output and demonstrate increased peripheral vascular resistance despite the presence of hypotension. The treatment of eating disorders is incremental caloric feeding, which can have its own intrinsic cardiovascular risk (refeeding syndrome) manifested by arrhythmia, tachycardia, congestive heart failure, and sudden cardiac death. Patients will require close monitoring and slower refeedings to minimize the risk of these complications.
653	1	4	_aeating disorders
653	1	4	_aanorexia nervosa
653	1	4	_abulimia
653	1	4	_acardiovascular complications
773			_g--2006, v 14, n 5, p. 227-231 _tCardiology in review
942			_2udc _cARTÍCULO
999			_c13048 _d13048