Anorexia Nervosa-Induced Cardiac Tamponade: A Comprehensive Review and Case Study of a Life-Threatening Complication
Keywords:
Anorexia Nervosa, Cardiac Tamponade, Pericardial Effusion, MalnutritionAbstract
Anorexia nervosa (AN) is a devastating psychiatric disorder that claims more lives than any other mental illness, largely through the silent toll it takes on the body. The cardiovascular system is especially vulnerable to the strain of chronic malnutrition. While a slow heart rate and low blood pressure are common signs of this struggle, a more dangerous, though rarer, complication is the buildup of fluid around the heart, which can lead to a medical emergency known as cardiac tamponade. This article offers a comprehensive look at the heart-related complications of AN, focusing on the causes, diagnosis, and treatment of this life-threatening condition. We share the story of a young woman with severe AN whose life was saved by an emergency procedure to relieve the pressure on her heart. Her case provides a powerful anchor for a wider discussion on the challenges of diagnosis, the difficult decisions in management, and the absolute necessity of a dedicated, multidisciplinary team to guide a patient through both the immediate crisis and the long journey of recovery. This review is a call for heightened awareness among clinicians, highlighting the fragile connection between a troubled mind and a body in peril.
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References
1. Bator E, Bronkowska M, Ślepecki D, et al. Anoreksja – przyczyny, przebieg, leczenie. Nowiny Lekarskie. 2011;80(3):184–191.
2. Bąba-Kubiś A, Pełka-Wysiecka J, Liśkiewicz P, et al. Anoreksja – jadłowstręt psychiczny. Pomeranian J Life Sci. 2018;64(4):5–9.
3. Springall GAC, Caughey M, Zannino D, et al. Long-term cardiovascular consequences of adolescent anorexia nervosa. Pediatr Res. 2023;94:1457–1464, https://doi.org/10.1038/s41390-023-02521-5.
4. Gibson D, Mehler PS. Cardiac Tamponade in Anorexia Nervosa: An Argument for Conservative Management. Ann Case Report. 2023;8:1406, https://doi.org/10.29011/2574-7754.101406.
5. Pilarska I, Grabska K. Cardiovascular complications in children and adolescents with anorexia. Pediatr Pol. 2022;97(4):337–342.
6. Smythe J, Colebourn C, Prisco L, Petrinic T, Leeson P. Cardiac abnormalities identified with echocardiography in anorexia nervosa: systematic review and meta-analysis. Brit J Psychiatr. 2021;219:477–486.
7. Kimak A. Anorexia nervosa: Cardiovascular complications. Piel Zdr Publ. 2017;7(2):153–157.
8. Grupa Robocza Europejskiego Towarzystwa Kardiologicznego (ESC) do spraw rozpoznawania i leczenia chorób osierdzia. Wytyczne ESC dotyczące rozpoznawania i leczenia chorób osierdzia w 2015 roku. Kardiologia Polska. 2015;73(11):1028–1091.
9. Chen LL. Under pressure: Acute cardiac tamponade. Nursing Critical Care. 2019;14(3):35–37.
10. Kircher JN, Park MH, Cheezum MK, Hulten EA, Kunz JS, Haigney M, Atwood JE. Cardiac tamponade in association with anorexia nervosa: a case report and review of the literature. Cardiology Journal. 2012;19(6):635–638, https://doi.org/10.5603/cj.2012.0117.
11. Sachs KV, Harnke B, Mehler PS, Krantz MJ. Cardiovascular complications of anorexia nervosa: A systematic review. The International Journal of Eating Disorders. 2016;49(3):238–248, https://doi.org/10.1002/eat.22481.
12. QuEDS Guide to Admission and Inpatient Treatment. Accessed May 5, 2024, www.metronorth.health.qld.gov.au
13. Nawłatyna W, Myszka P, Pawłowski P, Jakubowska K, Kościołek A. Nursing care for a patient diagnosed with eating disorders in the form of anorexia. Journal of Education, Health and Sport. 2019;9(9):161–169, http://dx.doi.org/10.5281/zenodo.3387069.
14. Sánchez-Enrique C, Nuñez-Gil IJ, Viana-Tejedor A, De Agustín A, Vivas D, Palacios-Rubio J, Vilchez JP, Cecconi A, Macaya C, Fernández-Ortiz A. Cause and Long-Term Outcome of Cardiac Tamponade. The American Journal of Cardiology. 2016;117(4):664–669.
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