QT PROLONGATION BY ISOPROTERENOL IN ANOREXIA-NERVOSA

被引:14
作者
HARRIS, JP
KREIPE, RE
ROSSBACH, CN
机构
关键词
ANOREXIA NERVOSA; BRADYCARDIA; ISOPROTERENOL; QTC PROLONGATION; AUTONOMIC IMBALANCE;
D O I
10.1016/S1054-139X(08)80013-4
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 [发展与教育心理学];
摘要
A 17-year-old male with anorexia nervosa developed atypical prolongation of his corrected QT interval (QTc) when placed on isoproterenol for profound sinus bradycardia. His QTc normalized after the infusion was discontinued. Autonomic imbalance may explain the observed QTc lengthening. Because bradycardia associated with weight loss in anorexia is usually a physiologic adaptation and rarely symptomatic, aggressive chronotropic therapy may be not only unwarranted, but potentially deleterious.
引用
收藏
页码:390 / 393
页数:4
相关论文
共 19 条
[1]
ADRENERGIC EFFECTS ON QT INTERVAL OF ELECTROCARDIOGRAM [J].
ABILDSKOV, JA .
AMERICAN HEART JOURNAL, 1976, 92 (02) :210-216
[2]
*AM PSYCH ASS, 1987, DIAGN STAT MAN MENT, P67
[3]
T-WAVE ABNORMALITIES DURING HYPERVENTILATION AND ISOPROTERENOL INFUSION [J].
BIBERMAN, L ;
SARMA, RN ;
SURAWICZ, B .
AMERICAN HEART JOURNAL, 1971, 81 (02) :166-&
[4]
EFFECT OF ISOPROTERENOL ON ABNORMAL T WAVE [J].
DAOUD, FS ;
SURAWICZ, B ;
GETTES, LS .
AMERICAN JOURNAL OF CARDIOLOGY, 1972, 30 (08) :810-&
[5]
CARDIAC-OUTPUT AND REGIONAL MYOCARDIAL-CONTRACTION IN ANOREXIA-NERVOSA [J].
GOLDBERG, SJ ;
COMERCI, GD ;
FELDMAN, L .
JOURNAL OF ADOLESCENT HEALTH, 1988, 9 (01) :15-21
[6]
GOLDSTEIN B, 1992, Pediatric Research, V31, p4A
[7]
Gull W.W., 1874, T CLIN SOC LONDON, V7, P22
[8]
ANOREXIA-NERVOSA AND SUDDEN-DEATH [J].
ISNER, JM ;
ROBERTS, WC ;
HEYMSFIELD, SB ;
YAGER, J .
ANNALS OF INTERNAL MEDICINE, 1985, 102 (01) :49-52
[9]
THE LONG QT SYNDROMES - A CRITICAL-REVIEW, NEW CLINICAL OBSERVATIONS AND A UNIFYING HYPOTHESIS [J].
JACKMAN, WM ;
FRIDAY, KJ ;
ANDERSON, JL ;
ALIOT, EM ;
CLARK, M ;
LAZZARA, R .
PROGRESS IN CARDIOVASCULAR DISEASES, 1988, 31 (02) :115-172
[10]
RADIONUCLIDE VENTRICULOGRAPHY IN SEVERELY UNDERWEIGHT ANOREXIA-NERVOSA PATIENTS BEFORE AND DURING REFEEDING THERAPY [J].
KAHN, D ;
HALLS, J ;
BIANCO, JA ;
PERLMAN, SB .
JOURNAL OF ADOLESCENT HEALTH, 1991, 12 (04) :301-306