title: An Echocardiographic Study of Left Ventricular Size and Cardiac Function in Adolescent Females with Anorexia Nervosa.
abstract: OBJECTIVE
  This retrospective case-control study investigated cardiac dimensions and ventricular function in female adolescents with anorexia nervosa (AN) compared with controls.
  
  
  METHODS
  Echocardiographic measurements of left ventricular (LV) dimensions, LV mass index, left atrial size and cardiac index were made. Detailed measures of systolic and diastolic ventricular function were made including tissue Doppler imaging. Patients were stratified by body mass index ≤10th percentile (AN ≤ 10th) and >10th percentile (AN > 10th).
  
  
  RESULTS
  Ninety-five AN patients and 58 controls were included. AN and AN ≤ 10th groups had reduced LV dimensions, LV mass index, left atrial size and cardiac index compared with controls. There were no differences between groups in measures of systolic function. Measures of diastolic tissue Doppler imaging were decreased in AN and AN ≤ 10th. No differences in echocardiographic measurements existed between controls and AN > 10th.
  
  
  CONCLUSIONS
  Female adolescents with AN have preserved systolic function and abnormalities of diastolic ventricular function. AN ≤ 10th may be a higher risk group.
authors.affiliation: Children's Heart Centre, British Columbia Children's Hospital, Canada.
authors.forename: Carolina A
authors.initials: CA
authors.lastname: Escudero
authors.affiliation: Children's Heart Centre, British Columbia Children's Hospital, Canada.
authors.forename: James E
authors.initials: JE
authors.lastname: Potts
authors.affiliation: Division of Adolescent Medicine and Provincial Specialized Eating Disorders Program, British Columbia Children's Hospital, Canada.
authors.forename: Pei-Yoong
authors.initials: PY
authors.lastname: Lam
authors.affiliation: Children's Heart Centre, British Columbia Children's Hospital, Canada.
authors.forename: Astrid M
authors.initials: AM
authors.lastname: De Souza
authors.affiliation: Faculty of Medicine and Discipline of Psychiatry, Memorial University of Newfoundland, Canada.
authors.forename: Gerald J
authors.initials: GJ
authors.lastname: Mugford
authors.affiliation: Children's Heart Centre, British Columbia Children's Hospital, Canada.
authors.forename: George G S
authors.initials: GG
authors.lastname: Sandor
mesh_terms: D000293:Adolescent; D000856:Anorexia Nervosa / Q000503:physiopathology*; D015992:Body Mass Index; D016022:Case-Control Studies; D015150:Echocardiography, Doppler; D005260:Female; D006321:Heart / Q000502:physiology*; D006352:Heart Ventricles / Q000033:anatomy & histology*; D006801:Humans; D009929:Organ Size; D012189:Retrospective Studies
keywords: anorexia nervosa; diastolic function; left ventricular mass; systolic function; ventricular function