title: Recurrent Acute Decompensated Heart Failure Owing to Severe Iron Deficiency Anemia Caused by Inappropriate Habitual Bloodletting.
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.
authors.affiliation: Division of Cardiology, Department of Internal Medicine, SMG-SNU Seoul Boramae Hospital, Seoul, Korea.
authors.forename: Woo-Hyun
authors.initials: WH
authors.lastname: Lim
authors.affiliation: Division of Cardiology, Department of Internal Medicine, SMG-SNU Seoul Boramae Hospital, Seoul, Korea.
authors.forename: Sang-Hyun
authors.initials: SH
authors.lastname: Kim
authors.affiliation: Division of Cardiology, Department of Internal Medicine, SMG-SNU Seoul Boramae Hospital, Seoul, Korea.
authors.forename: Hack-Lyoung
authors.initials: HL
authors.lastname: Kim
authors.affiliation: Division of Hemato-Oncology, Department of Internal Medicine, SMG-SNU Seoul Boramae Hospital, Seoul, Korea.
authors.forename: Ki-Hwan
authors.initials: KH
authors.lastname: Kim
authors.affiliation: Department of Emergency Medicine and Cardiology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
authors.forename: Sang Hoon
authors.initials: SH
authors.lastname: Na
authors.affiliation: Division of Cardiology, Department of Internal Medicine, SMG-SNU Seoul Boramae Hospital, Seoul, Korea.
authors.forename: Hyun-Jung
authors.initials: HJ
authors.lastname: Lee
authors.affiliation: Department of Internal Medicine, Hongik Hospital, Seoul, Korea.
authors.forename: Eun Gyu
authors.initials: EG
authors.lastname: Kang
authors.affiliation: Division of Cardiology, Department of Internal Medicine, SMG-SNU Seoul Boramae Hospital, Seoul, Korea.
authors.forename: Jae-Bin
authors.initials: JB
authors.lastname: Seo
authors.affiliation: Division of Cardiology, Department of Internal Medicine, SMG-SNU Seoul Boramae Hospital, Seoul, Korea.
authors.forename: Woo-Young
authors.initials: WY
authors.lastname: Chung
authors.affiliation: Division of Cardiology, Department of Internal Medicine, SMG-SNU Seoul Boramae Hospital, Seoul, Korea.
authors.forename: Joo-Hee
authors.initials: JH
authors.lastname: Zo
authors.affiliation: Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea.
authors.forename: Jung Ae
authors.initials: JA
authors.lastname: Hong
authors.affiliation: Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea.
authors.forename: Kwangyoun
authors.initials: K
authors.lastname: Kim
authors.affiliation: Division of Cardiology, Department of Internal Medicine, SMG-SNU Seoul Boramae Hospital, Seoul, Korea.
authors.forename: Myung-A
authors.initials: MA
authors.lastname: Kim
keywords: Anemia; Bloodletting; Heart failure