Regional Left Ventricular Dysfunction in a Patient With Severe Prolonged Anemia

Satoshi Murao; Hiroyuki Fujieda; Taisuke Sakamoto; Tetsuya Sato; Hirohiko Sato

doi:10.1253/jcj.63.61

Case Report

Regional Left Ventricular Dysfunction in a Patient With Severe Prolonged Anemia

Satoshi Murao, Hiroyuki Fujieda, Taisuke Sakamoto, Tetsuya Sato, Hirohiko Sato

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Keywords: Anemia, Fatty acid metabolism, Hibernating myocardium, ¹²³ I-β-methyliodophenyl pentadecanoic acid (BMIPP) scintigraphy, Left ventricular dysfunction

JOURNAL FREE ACCESS

1999 Volume 63 Issue 1 Pages 61-63

DOI https://doi.org/10.1253/jcj.63.61

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Abstract

A 47-year-old woman with severe prolonged anemia developed heart failure. After treatment of the heart failure and anemia, she showed regional dysfunction of the left ventricular wall and myocardial fatty acid metabolism was disturbed in these sites. Coronary arteriography showed normal images. It took about 4 months to recover both left ventricular wall motion and fatty acid metabolism. Prolonged decrease of oxygen supply to the myocardium, which is caused by severe prolonged anemia, seemed to affect the myocardial function in this case, which could be another model of anemia-related myocardial dysfunction. (Jpn Circ J 1999; 63: 61 -63)

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