| Cardiac tamponade in association with anorexia nervosa: A case report and review of the literature. | |
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MedLine Citation:
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PMID: 23224928 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Anorexia nervosa (AN) is a complex psychiatric disorder that can have devastating cardiovascular complications. Its lesser-known association with pericardial effusion has been recently described in the literature. We present the case of a 45 year-old female who presented with a recurrent small bowel obstruction requiring lysis of adhesions and who was found to have a large pericardial effusion that progressed to cardiac tamponade necessitating surgical intervention. The patient had a body mass index of 14.8 kg/m2 (i.e. 71% of ideal body weight) and a long-standing history of food aversion, extreme exercise habits, and weight obsession consistent with AN. To the best of our knowledge, this is the first case of AN-associated cardiac tamponade in the United States, and the first requiring surgical intervention. In conclusion, with this and current data regarding AN-associated pericardial effusions, we recommend a low threshold for performing pre-operative echocardiography for those in whom AN is suspected. |
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Authors:
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Jacqueline N Kircher; Matthew H Park; Michael K Cheezum; Edward A Hulten; Jeffrey S Kunz; Mark Haigney; J Edwin Atwood |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Cardiology journal Volume: 19 ISSN: 1897-5593 ISO Abbreviation: Cardiol J Publication Date: 2012 |
Date Detail:
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Created Date: 2012-12-10 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101392712 Medline TA: Cardiol J Country: Poland |
Other Details:
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Languages: eng Pagination: 635-8 Citation Subset: IM |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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