Journal of Cardiovascular Imaging

Korean Society of Echocardiography (한국심초음파학회)
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RECURRENT ACUTE DECOMPENSATED HEART FAILURE OWING TO SEVERE IRON DEFICIENCY ANEMIA CAUSED BY INAPPROPRIATE HABITUAL BLOODLETTING

  • Lim, Woo-Hyun (Division of Cardiology, Department of Internal Medicine, SMG-SNU Seoul Boramae Hospital) ;
  • Kim, Sang-Hyun (Division of Cardiology, Department of Internal Medicine, SMG-SNU Seoul Boramae Hospital) ;
  • Kim, Hack-Lyoung (Division of Cardiology, Department of Internal Medicine, SMG-SNU Seoul Boramae Hospital) ;
  • Kim, Ki-Hwan (Division of Hemato-Oncology, Department of Internal Medicine, SMG-SNU Seoul Boramae Hospital) ;
  • Na, Sang Hoon (Department of Emergency Medicine and Cardiology, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Lee, Hyun-Jung (Division of Cardiology, Department of Internal Medicine, SMG-SNU Seoul Boramae Hospital) ;
  • Kang, Eun Gyu (Department of Internal Medicine, Hongik Hospital) ;
  • Seo, Jae-Bin (Division of Cardiology, Department of Internal Medicine, SMG-SNU Seoul Boramae Hospital) ;
  • Chung, Woo-Young (Division of Cardiology, Department of Internal Medicine, SMG-SNU Seoul Boramae Hospital) ;
  • Zo, Joo-Hee (Division of Cardiology, Department of Internal Medicine, SMG-SNU Seoul Boramae Hospital) ;
  • Hong, Jung Ae (Department of Internal Medicine, Hallym University Sacred Heart Hospital) ;
  • Kim, Kwangyoun (Department of Internal Medicine, Hallym University Sacred Heart Hospital) ;
  • Kim, Myung-A (Division of Cardiology, Department of Internal Medicine, SMG-SNU Seoul Boramae Hospital)
  • Received : 2015.01.23
  • Accepted : 2015.11.18
  • Published : 2015.12.27
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Abstract

A 68-year-old woman visited the emergency department twice with symptoms of acute heart failure including shortness of breath, general weakness, and abdominal distension. Laboratory findings showed extremely low level of serum hemoglobin at 1.4 g/dL. Echocardiographic examination demonstrated dilated left ventricular cavity with systolic dysfunction and moderate amount of pericardial effusion. In this patient, acute heart failure due to severe iron deficiency anemia was caused by inappropriate habitual bloodletting.

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References

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