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- W1973456612 abstract "Electrocardiograms, biochemical parameters, and drug histories were reviewed in 37 patients with anorexia nervosa. Prolongation of the Q-T interval was identified in 24%, sinus bradycardia in 41%, and low voltage in 11% of our study population. Hypocalcemia was identified in none of our patients, hypomagnesemia in one, and hypokalemia in nine. Hypokalemia was more frequent (67%) and marked in patients with Q-T prolongation than in those with normal Q-T intervals (11%). Bulimic tendencies were more frequent in anorexics with Q-T prolongation and were associated with hypokalemia. Q-T prolongation when present was usually mild. One patient had documented ventricular fibrillation associated with hypokalemia and the longest Q-T interval encountered in our group (G-Qc = 0.54 seconds). Patients with severe anorexia nervosa should be screened for hypokalemia and Q-T prolongation, particularly if bulimic tendencies are present. Although Q-T prolongation associated with weight loss due to dieting, starvation, and gastroplasty is not commonly associated with hypokalemia, such may not be the case with anorexia nervosa." @default.
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- W1973456612 date "1988-11-01" @default.
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- W1973456612 title "Electrocardiographic abnormalities in anorexia nervosa" @default.
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