title: [Irreversible acute heart failure caused by cardiac hemochromatosis secondary to multiple transfusions].
abstract: We report a 64 years old male, admitted for dyspnea and edema of two weeks duration. A sideroblastic anemia, requiring multiple transfusions, was diagnosed four years earlier. The chest X-ray showed an enlarged heart and right pleural effusion. A low left ejection fraction was evidenced by echocardiogram. Doppler analysis of the mitral flow revealed a restrictive hemodynamic pattern. A diagnosis of secondary cardiac hemochromatosis deposit was made. Nine days after admission the patient died due to heart failure. The clinical presentation of cardiac hemochromatosis as a sudden and irreversible heart failure, as well as the importance of early diagnosis and surveillance of high-risk patients is emphasized.
authors.affiliation: Departamento de Cardiología, Hospital de la Santa Creu i Sant Pau, Barcelona, España.
authors.forename: Vicens
authors.initials: V
authors.lastname: Martí
authors.forename: Jordi
authors.initials: J
authors.lastname: Guarinos
authors.forename: Nasrim
authors.initials: N
authors.lastname: Aminian
authors.forename: Eva
authors.initials: E
authors.lastname: Guillaumet
authors.forename: José M
authors.initials: JM
authors.lastname: Domínguez de Rozas
mesh_terms: D000208:Acute Disease; D009202:Cardiomyopathies / Q000150:complications*; D017809:Fatal Outcome; D006333:Heart Failure / Q000209:etiology*; D006432:Hemochromatosis / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D065227:Transfusion Reaction