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J Cardiovasc Ultrasound. 2015 Dec;23(4):253-256. English. Case Report. https://doi.org/10.4250/jcu.2015.23.4.253
Lim WH , Kim SH , Kim HL , Kim KH , Na SH , Lee HJ , Kang EG , Seo JB , Chung WY , Zo JH , Hong JA , Kim K , Kim MA .
Division of Cardiology, Department of Internal Medicine, SMG-SNU Seoul Boramae Hospital, Seoul, Korea. shkimmd@snu.ac.kr
Division of Hemato-Oncology, Department of Internal Medicine, SMG-SNU Seoul Boramae Hospital, Seoul, Korea.
Department of Emergency Medicine and Cardiology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
Department of Internal Medicine, Hongik Hospital, Seoul, Korea.
Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea.
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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