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- $Unique_ID{BRK01598}
- $Pretitle{}
- $Title{Anorexia Nervosa: The Deadliest of All Psychiatric Disorders}
- $Subject{anorexia nervosa hazards heart Mental Emotional Conditions
- Psychiatric Disorders eating left ventricle Bulimia underweight weight
- Condition Disorder eat eats anorexic ventricles}
- $Volume{E-26, E-23}
- $Log{}
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- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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- Anorexia Nervosa: The Deadliest of All Psychiatric Disorders
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- QUESTION: Please write something about the eating sickness that is causing my
- daughter to shrink away before my eyes. Tell her it could affect her heart.
- Please help an anxious mother deal with this problem.
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- ANSWER: Anorexia nervosa is a serious illness. Fifteen percent of all
- anorexia sufferers die, which makes it the deadliest of all psychiatric
- disorders. Sudden deaths among anorexics are often due to the serious damage
- that the disorder causes to the heart.
- Researchers have known for a long time that anorexics have abnormal heart
- rhythms, including heart rates that are too fast or slow or that lack the
- proper rhythm. Their hearts are also shrunken in size. It had always been
- thought that when the body is starved, the heart and the brain are spared at
- the expense of other parts of the body, but an anorexic's heart appears to
- lose more weight and size proportionately than the rest of the body. The size
- of the left ventricle, one of the chambers of the heart, in anorexics is
- especially reduced. Bulimia--eating and then vomiting--can also cause heart
- problems due to chemical imbalances in the body.
- Because of these heart changes, anorexics cannot exercise as long as
- normal during exercise stress tests. Their heart rates and blood pressures do
- not respond normally to the extra effort of exercise, as a healthy person's
- would. It is still not known whether the heart returns to normal after the
- patient regains her weight or whether these changes are permanent. Some
- studies have shown that the heart does increase in size as weight is gained.
- Your daughter needs professional treatment, and even the concern of a
- mother may not be enough to get her on the right path. This warning should be
- clear enough to help make her seek medical care.
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- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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