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Unexpected death in patients suffering from eating disorders. A medico-legal study.

https://arctichealth.org/en/permalink/ahliterature55603
Source
Acta Psychiatr Scand. 1986 Dec;74(6):587-96
Publication Type
Article
Date
Dec-1986
Author
J. Rajs
E. Rajs
T. Lundman
Source
Acta Psychiatr Scand. 1986 Dec;74(6):587-96
Date
Dec-1986
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Arrhythmia - mortality
Catheterization - mortality
Eating Disorders - mortality
Female
Humans
Male
Risk
Sweden
Abstract
Medico-legal investigation into causes of unexpected death of five persons who suffered from eating disorders did not give distinct pathoanatomical explanations. The analysis disclosed a number of risk factors whose interplay may have resulted in a circulatory catastrophy. These factors were of organisational and ideological character: simultaneous treatment at different departments, lack of contact with psychiatrists, or unclear criteria for admission to hospital; or somatic: circulatory and electrocardiographic S-T and T wave abnormalities, hypopotassemia and hypoglycemia, as well as anergy of the emaciated patient which may have led to symptoms of bronchopneumonia being overlooked. Morphological investigation revealed heart atrophy as well as recent lesions such as haemorrhages, fragmentation and contraction bands of the myofibres. In two extremely emaciated patients there was a disproportion between the size of the mitral valves and the atrophic ventricular wall, an appearance similar to "floppy valves". In one instance an erroneously inserted gastric tube contributed to vomiting, hypopotassemia and sudden death.
PubMed ID
3469890 View in PubMed
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