Key result
Severe anemia (hemoglobin 1.4 g/dL) due to myoma-related bleeding led to stress-induced cardiomyopathy and acute heart failure in a single patient.
Case Report (n=1)
Severe anemia from bleeding myoma can compensatively increase sympathetic tone, leading to stress-induced cardiomyopathy and acute heart failure.
Severe myoma-related anemia may precipitate acute heart failure; case reports leave open incidence, mechanisms, and management strategies.
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.
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Park et al. (2020) conducted a case report in Severe anemia, stress-induced cardiomyopathy, and acute heart failure due to bleeding myoma (n=1). Severe anemia due to myoma-related bleeding was evaluated on Stress-induced cardiomyopathy and congestive heart failure. Severe anemia (hemoglobin 1.4 g/dL) due to myoma-related bleeding led to stress-induced cardiomyopathy and acute heart failure in a single patient.
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