This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Panagiotopoulos, C.
Right arrow Articles by Katzman, D. K.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Panagiotopoulos, C.
Right arrow Articles by Katzman, D. K.
Related Collections
Right arrow Heart & Blood Vessels
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Facebook   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

PEDIATRICS Vol. 105 No. 5 May 2000, pp. 1100-1105

Electrocardiographic Findings in Adolescents With Eating Disorders

Received Mar 23, 1999; accepted Aug 5, 1999.

Constadina Panagiotopoulos, Brian W. McCrindle, Katherine Hick, and Debra K. Katzman

From the Divisions of Adolescent Medicine and Cardiology, Department of Pediatrics, Hospital for Sick Children, and the Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.

Objectives.  We sought to determine the prevalence and clinical correlates of electrocardiographic findings in adolescents with eating disorders.

Study Design.  We undertook matched case-control study of electrocardiographic findings at initial assessment in 62 adolescents with anorexia nervosa, 9 with bulimia nervosa, and 26 with eating disorder not otherwise specified presenting from March 1995 to September 1996.

Results.  Mean (± 1 standard deviation) age was 15.0 ± 1.4 years (95% were female). Patients with anorexia nervosa had significantly lower heart rates (mean case-control difference: -20 ± 17 beats per minute), lower R in V6 (-2.6 ± 5.5 mm), longer QRS interval (+.004 ± .010 seconds), shorter mean QTc (-.0136 ± .033 seconds) and lesser QTc dispersion (-.010 ± .031 seconds). The bulimia nervosa group had slightly longer mean QTc (.019 ± .020 seconds), with no significant case-control differences in the eating disorder not otherwise specified group.

Conclusion.  Electrocardiographic findings are abnormal in adolescents with anorexia nervosa but not in adolescents with bulimia nervosa or eating disorder not otherwise specified.  Key words:  anorexia nervosa, bulimia nervosa, QTc interval, case-control study.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Facebook Facebook   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 NEJMHome page
M. A. Goldstein, D. B. Herzog, M. Misra, and P. Sagar
Case 29-2008 -- A 19-Year-Old Man with Weight Loss and Abdominal Pain
N. Engl. J. Med., September 18, 2008; 359(12): 1272 - 1283.
[Full Text] [PDF]

Home page
 J. Am. Coll. Nutr.Home page
J. L. Olivares, M. Vazquez, G. Rodriguez, P. Samper, and J. Fleta
Electrocardiographic and Echocardiographic Findings in Malnourished Children
J. Am. Coll. Nutr., February 1, 2005; 24(1): 38 - 43.
[Abstract] [Full Text] [PDF]

Home page
 AAP NewsHome page
Explore strategies to improve insurance for patients with eating disorders
AAP News, February 1, 2004; 24(2): 63 - 69.
[Full Text] [PDF]

Home page
 Journal of Adolescent ResearchHome page
H. D. Pratt, E. L. Phillips, D. E. Greydanus, and D. R. Patel
Eating Disorders in the Adolescent Population:: Future Directions
Journal of Adolescent Research, May 1, 2003; 18(3): 297 - 317.
[Abstract] [PDF]