Complicated Stress-induced Cardiomyopathy and Heart Failure due to Bleeding Myoma

Ji-Hyoung Park, Jaemoon Lee, Eunbi Lee, Kwang Ho Lee

Abstract


Bleeding associated with uterine leiomyoma is a common complication for many women. Sustained bleeding reduces the oxygen-carrying capacity of hemoglobin. However, a hemoglobin value below 2.0 g/dL due to bleeding is not common. Such a low level compensatively increases sympathetic tone and can lead to stress-induced cardiomyopathy and congestive heart failure. We report a case of severe anemia (1.4 g/dL of hemoglobin) with acute heart failure due to myoma-related bleeding.

 

 

Keywords


Acute heart failure, Bleeding, Leiomyoma, Stress-induced cardiomyopathy

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References


Stewart, EA, Nowak RA., “Leiomyoma-related bleeding: A classic hypothesis updated for the molecular era”, Human Reproduction Update, vol. 2, no. 4, pp.295-306, 1996.

Franchitto, N., Despas, F., Labrunee, M., Roncalli, J., Boveda, S., Galinier, M., Senard, J.M., Pathak, A., “ Tonic chemoreflex activation contributes to increased sympathetic nerve activity in heart failure-related anemia”, Hypertension, vol. 55, no. 4, pp.1012-1017, 2010.

Yokusoglu, M., Nevruz, O., Baysan, O., Uzun, M., Demirkol, S., Avcu, F., Koz, C., Çetin, T., Hasimi, A., Ural, AU, Isik E., “The altered autonomic nervous system activity in iron deficiency anemia”, The Tohoku J Exp Med, vol. 212, no. 4, pp. 397-402, 2007.

Wittstein, IS., Thiemann, DR., Lima, JAC., Baughman, KL., Schulman, SP., Gerstenblith, G., Wu, KC., Rade, JJ., Bivalacqua, TJ., Champion, HC., “ Neurohumoral features of myocardial stunning due to sudden emotional stress”, N Engl J Med, vol. 352, no. 6, pp. 539-548, 2005.

Chua, JH., Nguyen, R., “Anesthetic management of the patient with low ejection fraction”, Am J Ther, vol. 22, no. 1, pp. 73-79, 2015.




DOI: https://doi.org/10.24203/ajpnms.v8i1.6082

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