Key result
Among pediatric patients with eating disorders, 58.3% presented with electrocardiographic abnormalities, most commonly sinus bradycardia, which was significantly associated with lower body mass index.
Why the study?
Eating disorders often result in somatic complications including cardiac abnormalities that can lead to sudden cardiac death, but their incidence and associated factors in pediatric patients required evaluation.
Observational (n=127)
Yes
Cardiac abnormalities, particularly sinus bradycardia and pericardial effusion, are highly prevalent in pediatric patients with eating disorders and correlate with lower BMI, highlighting the need for routine cardiovascular monitoring.
ECG surveillance may warrant consideration in low-BMI pediatric eating disorder cases; leaves open prospective validation for risk stratification.
Purpose: Eating disorders often result in somatic complications, including cardiac abnormalities. Cardiac abnormalities may involve any part of the heart, including the cardiac conduction system, and can lead to sudden cardiac death. The current study aimed to evaluate the incidence of cardiac complications in pediatric patients with eating disorders and their associated factors. Methods: We retrospectively analyzed patients aged 10-18 years who were diagnosed with DSM-V (Diagnostic and Statistical Manual of Mental Disorder-V) eating disorders and underwent electrocardiography (ECG) and/or echocardiography between January 2015 and May 2020. Results: <0.001). After weight gain, the amount of pericardial effusion was reduced in 3 patients, and 30 patients presented with normal ECG findings. Conclusion: Cardiac abnormalities are relatively frequent in patients with eating disorders. Physicians should focus on this somatic complication and careful monitoring is required.
No takes yet. Share an insight, caveat, or question.
Choi et al. (2022) conducted an observational in Eating disorders (n=127). Eating disorders was evaluated on Incidence of electrocardiography (ECG) abnormalities. Among pediatric patients with eating disorders, 58.3% presented with electrocardiographic abnormalities, most commonly sinus bradycardia, which was significantly associated with lower body mass index.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: