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Good morning! Great #conference talking about cardiac involvement in severe malnutrition and anorexia nervosa #PedsICU
First up: a little primer
https://onlinelibrary.wiley.com/doi/abs/10.1002/eat.22481#:~:text=Results,dysregulation%20in%20peripheral%20vascular%20contractility.
#PedsICU
https://onlinelibrary.wiley.com/doi/abs/10.1002/eat.22481#:~:text=Results,dysregulation%20in%20peripheral%20vascular%20contractility.
#PedsICU
Cardiac structural complications can include pericardial effusions in 1/4 to 1/3 with mycoardial atrophy, dysfunction, and valvular prolapse. #PedsICU #PedsCICU
Echo from @NEJM:
Echo from @NEJM:
Cardiac electrical manifestations do include some QT prolongation, but this isn't a universal finding. Sinus bradycardia is almost universal, and junctional escape rhythms are common. #PedsICU #PedsCICU
https://apps.childrenshospital.org/MML/index.cfm?CAT=media&MEDIA_ID=1730
https://apps.childrenshospital.org/MML/index.cfm?CAT=media&MEDIA_ID=1730
Bradycardia, hypotension, and orthostasis are common. There is also significant autonomic dysfunction, attributable to excessive vagal tone, manifesting as reduction in heart rate variability. #PedsICU #PedsCICU
From a vascular perspective, energy deprivation can lead to peripheral vasomotor dysregulation, leading to the vasoconstriction, acrocyanosis, and Raynaud's phenomenon sometimes seen. #PedsICU #PedsCICU
And, from the @AAPNews and @ab_peds, AN and refeeding syndrome will likely show up on your boards! Take a look at this, and tune in next time when we talk a little bit more about critical care management of what we can see 
#PedsICU #PedsCICU https://pedsinreview.aappublications.org/content/37/12/516
#PedsICU #PedsCICU https://pedsinreview.aappublications.org/content/37/12/516
