Myocardial siderosis due to hemochromatosis in an individual with hypertrophic cardiomyopathy

A patient with hypertrophic cardiomyopathy (HCM) and transfusion-dependent sideroblastic anemia, who presented with decompensated heart failure, is described. The present case demonstrates the usefulness of cardiac magnetic resonance imaging as a noninvasive imaging modality to assess the etiology o...

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Bibliographic Details
Published in:Canadian journal of cardiology 2009-12, Vol.25 (12), p.e424-e425
Main Authors: Hildebrand, Ainslie M., MD, Bhagirath, Kapil M., MD, Ariyarajah, Vignendra, MD, Walker, Jonathan R., BSc, Houston, Donald S., MD PhD FRCPC, Zieroth, Shelley, MD FRCPC, Tam, James W., MD FRCPC, Kirkpatrick, Iain D.C., MD FRCPC, Jassal, Davinder S., MD FACC FRCPC
Format: Article
Language:English
Subjects:
Adult
Anemia, Sideroblastic - complications
Cardiac MRI
Cardiomyopathy, Hypertrophic - complications
Cardiomyopathy, Hypertrophic - diagnosis
Cardiovascular
Case Report
Hemochromatosis
Hemochromatosis - complications
Hemochromatosis - diagnosis
Hemochromatosis - etiology
Humans
Hypertrophic cardiomyopathy
Magnetic Resonance Imaging
Male
Severity of Illness Index
Transfusion Reaction
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Summary:A patient with hypertrophic cardiomyopathy (HCM) and transfusion-dependent sideroblastic anemia, who presented with decompensated heart failure, is described. The present case demonstrates the usefulness of cardiac magnetic resonance imaging as a noninvasive imaging modality to assess the etiology of new systolic dysfunction in the setting of HCM. Cardiac magnetic resonance imaging is able to differentiate between the dilated ‘burned-out’ phase of HCM and a concomitant dilated cardiomyopathy secondary to myocarditis or hemosiderosis.
ISSN:0828-282X
1916-7075
DOI:10.1016/S0828-282X(09)70538-0