Cardiac tamponade in association with anorexia nervosa: A case report and review of the literature

被引：13

作者：

Kircher, Jacqueline N.

Park, Matthew H.

Cheezum, Michael K. ^{[1
]}

Hulten, Edward A. ^{[1
]}

Kunz, Jeffrey S. ^{[1
]}

Haigney, Mark ^{[2
]}

Atwood, J. Edwin ^{[1
]}

机构：

[1] Walter Reed Natl Mil Med Ctr, Dept Med, Serv Cardiol, Bethesda, MD 20889 USA

[2] Uniformed Serv Univ Hlth Sci, F Edward Hebert Sch Med, Bethesda, MD USA

来源：

CARDIOLOGY JOURNAL | 2012年 / 19卷 / 06期

关键词：

anorexia; pericardial effusion; PERICARDIAL-EFFUSIONS;

D O I：

10.5603/CJ.2012.0117

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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/m(2) (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. (Cardiol J 2012; 19, 6: 635-638)

引用

页码：635 / 638

页数：4

共 10 条

[1] Pericardial effusions in children with severe protein energy malnutrition resolve with therapeutic feeding: a prospective cohort study [J].