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European Journal of Echocardiography Advance Access first published online on June 23, 2008
This version published online on June 25, 2008
European Journal of Echocardiography, doi:10.1016/j.euje.2007.06.010
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

Bloodletting-induced cardiomyopathy: reversible cardiac hypertrophy in severe chronic anaemia from long-term bloodletting with cupping

Il-Suk Sohn1,*, Eun-Sun Jin1, Jin-Man Cho1, Chong-Jin Kim1, Jong-Hoa Bae1, Ju-Young Moon2, Sang-Ho Lee2 and Myung-Jae Kim2

1 Cardiovascular Center Kyunghee East-West Neo Medical Center, 149 Sangil-dong, Gangdong-gu, Seoul 134-727, South Korea
2 Department of Nephrology Kyunghee East-West Neo Medical Center, 149 Sangil-dong, Gangdong-gu, Seoul 134-727, South Korea

* Corresponding author. Tel: +82 2 440 6108; fax: +82 2 442 6638. E-mail address: issohn89{at}hanmail.net


  Abstract

Cardiac hypertrophy in a patient with severe iron deficiency anaemia associated with long-term bloodletting using cupping, called ‘puhang’ in oriental medicine, is discussed using chest electrocardiographic and radiographic images. With iron supply, the patient showed remarkable improvement of cardiomegaly, which is a unique feature of chronic severe iron deficiency anaemia.

Keywords: Anaemia; Cardiomyopathy; Heart failure

This article was originally published with an error in the author affiliations. This has now been corrected.


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