Echocardiographic Assessment of Cardiac Complications in Anorexia Nervosa: Correlation with the Disease Severity and the Role of Global Longitudinal Strain

Leonarda Galiuto

doi:10.19080/jgwh.2020.19.556024

Abstract

Echocardiographic Assessment of Cardiac Complications in Anorexia Nervosa: Correlation with the Disease Severity and the Role of Global Longitudinal Strain

Highlights

Anorexia Nervosa (AN) is a psychiatric disorder with devastating physical consequences
The average values of weight and Body mass index (BMI) were 39.8±7.2 kg and 15±2.1 kg/m2, respectively. 20 (51.3%) patients were affected by non-extreme AN and 19 (48.7%) patients by extreme AN
The major findings of our investigation were: a) LV remodeling, pericardial effusion (PE) and mitral valve prolapse (MVP) correlated with the severity of the disease, on the contrary ECG abnormalities and echocardiographic parameters of LV systolic function did not

Summary

Introduction

Anorexia Nervosa (AN) is a psychiatric disorder with devastating physical consequences. It is the most frequent eating disorders (ED), mainly affecting young women (10:1 female-male ratio). The incidence of AN has been reported to be 270 to 100.000 person-years in adolescents, it is often underestimated [1]. Its prevalence varies between 0.9% and 3% in women and between 0.16% and 0.3% in men [2]. AN has the high est mortality rate of any psychiatric disorder, with 5.1 deaths per 1000 person years [3]. According to the DSM-5 criteria [4], the diagnosis of AN requires the presence of all the following criteria: a) Persistent restriction of energy intake leading to significantly low body weight;

Objectives

Methods

Results

Conclusion