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Dramatic improvement of refractory anemia caused by mechanical hemolysis in a patient with hypertrophic obstructive cardiomyopathy using dual-chamber pacing. | LitMetric
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Dramatic improvement of refractory anemia caused by mechanical hemolysis in a patient with hypertrophic obstructive cardiomyopathy using dual-chamber pacing.

Yosuke Miwa Kyoko Soejima Toshiaki Sato Kenichi Matsushita Junsuke Sueoka Nobuyuki Takayama Hideaki Yoshino

J Arrhythm

Second Department of Internal Medicine, Kyorin University School of Medicine, 6-20-2 Shinkawa, Mitaka, Tokyo 181-8611, Japan.

Published: August 2015

A 59-year-old woman with hypertrophic obstructive cardiomyopathy was admitted to our institution with worsening heart failure. She developed mechanical intracardiac hemolysis due to left ventricular outflow tract (LVOT) obstruction. Despite surgical myectomy, the LVOT pressure gradient (PG) remained high and hemolytic anemia recurred. A dual-chamber implantable cardioverter defibrillator was then implanted, which decreased the LVOT-PG and improved hemolysis.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4555457PMC
http://dx.doi.org/10.1016/j.joa.2014.12.001DOI Listing

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