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  1. Home
  3. The Hungry Heart: Managing Cardiogenic Shock In Patients With Severe Anorexia Nervosa-a Case Report Series.
  1. Home
  3. The Hungry Heart: Managing Cardiogenic Shock In Patients With Severe Anorexia Nervosa-a Case Report Series.

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The Hungry Heart: Managing Cardiogenic Shock in Patients with Severe Anorexia Nervosa-A Case Report Series.

Manuela Thienel1,2, Rainer Kaiser1,2, Jonas Gmeiner1

  • 1Department of Cardiology, Ludwig-Maximilians-University Hospital, Ludwig Maximilians University, 81377 Munich, Germany.

Journal of Clinical Medicine
|June 13, 2025

View abstract on PubMed

Summary
This summary is machine-generated.

Cardiogenic shock in anorexia nervosa is rare but life-threatening. Multidisciplinary care, including mechanical support and careful nutritional therapy, improved survival in three critical patients.

Keywords:
anorexia nervosacardiogenic shockcase reportheart failuremalnutritionmechanical circulatory support

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Area of Science:

  • Cardiology
  • Intensive Care Medicine
  • Psychiatric Comorbidities

Background:

  • Cardiogenic shock, typically linked to myocardial infarction, can occur in severe malnutrition associated with anorexia nervosa.
  • Anorexia nervosa, a psychiatric disorder, involves extreme food restriction, potentially leading to severe physiological compromise.

Purpose of the Study:

  • To describe the management and outcomes of patients with anorexia nervosa experiencing severe cardiogenic shock.
  • To highlight the challenges and necessity of a multidisciplinary approach in managing this complex patient cohort.

Main Methods:

  • Case series of three patients with anorexia nervosa and cardiogenic shock treated in a cardiological intensive care unit.
  • Management involved cautious electrolyte balance, targeted nutritional therapy, and advanced mechanical circulatory support (ECMO, microaxial pump).
  • Careful integration of intensive cardiac and nutritional interventions was prioritized.

Main Results:

  • Two patients were successfully resuscitated following cardiac arrest.
  • Two patients required mechanical circulatory support due to the severity of their condition.
  • Patients presented with multi-organ failure and respiratory distress, requiring complex management.

Conclusions:

  • A multidisciplinary strategy is essential for managing critically ill patients with intertwined cardiac and nutritional pathologies.
  • Early recognition and timely intervention with mechanical circulatory support can significantly improve survival in this high-risk group.
  • Judicious nutritional therapy, including trace element and vitamin supplementation, is crucial for recovery.