지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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Objectives : QT interval prolongation and dispersion known as indicators of an increased risk for ventricular arrhythmias and sudden death have been reported to be prolonged in patients with anorexia nervosa. The aims of this study were to compare conduction abnormalities in Korean patients with anorexia nervosa and bulimia nervosa, and to examine its relation with clinical and laboratory factors. Methods : We retrospectively examined 45 women with anorexia nervosa and 75 women with bulimia nervosa who were assessed by 12-lead electrocardiogram at baseline. QT interval and corrected QT interval, QT dispersion of the difference between the longest and shortest QT intervals, and abnormal U wave were measured for conduction abnormalities. Results : QT interval was significantly longer in patients with anorexia nervosa compared with those with bulimia nervosa. There were no differences in QTc (Corrected QT), QTd (QT dispersion) and abnormal U wave between patients with anorexia nervosa and those with bulimia nervosa. QTd was significantly correlated with the lowest ever lifetime body mass index ($kg/m^2$) as well as the serum amylase level in patients with anorexia nervosa. Conclusions : These results suggest some conduction abnormalities reported in patients with anorexia nervosa are also found in patients with bulimia nervosa. It appears that severity of weight loss and purging behavior could affect the cardiac arrhythmia in patients with eating disorders. Appropriate attention should be paid to cardiac involvement in patients with eating disorders.
목차
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참고문헌 (34)
참고문헌 신청
Sullivan PF / 1995 / Mortality in anorexia nervosa / Am J Psychiatry 152:1073~1074
Keel PK / 2003 / Predictors of mortality in eating disorders / Arch Gen Psychiatry 60:179~183
Neumärker KJ / 1997 / Mortality and sudden death in anorexia nervosa / Int J Eat Disord 21:205~212
Isner JM / 1985 / Anorexia nervosa and sudden death / Ann Intern Med 102:49~52
Barr CS / 1994 / QT dispersion and sudden unexpected death in chronic heart failure / Lancet 343:327~329
Keel PK / 2003 / Predictors of mortality in eating disorders / Arch Gen Psychiatry 60:179~183
Neumärker KJ / 1997 / Mortality and sudden death in anorexia nervosa / Int J Eat Disord 21:205~212
Isner JM / 1985 / Anorexia nervosa and sudden death / Ann Intern Med 102:49~52
Barr CS / 1994 / QT dispersion and sudden unexpected death in chronic heart failure / Lancet 343:327~329
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