Annals of Saudi Medicine
Publication of the King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
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Year : 2010  |  Volume : 30  |  Issue : 6  |  Page : 494

RE: Sheehan syndrome with reversible dilated cardiomyopaty

University College of Medical Sciences, New Delhi, India

Date of Web Publication 3-Nov-2010

Correspondence Address:
Sourabh Aggarwal
University College of Medical Sciences, New Delhi

DOI: 10.4103/0.


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How to cite this article:
Aggarwal S. RE: Sheehan syndrome with reversible dilated cardiomyopaty. Ann Saudi Med 2010;30:494

How to cite this URL:
Aggarwal S. RE: Sheehan syndrome with reversible dilated cardiomyopaty. Ann Saudi Med [serial online] 2010 [cited 2010 Dec 5];30:494. Available from:

To the Editor: I read the case report on 'Sheehan syndrome with reversible dilated cardiomyopaty' [1] by Laway et al with interest. The case indeed looks interesting. However, it could also have been a case of peripartum cardiomyopathy, which can have an onset up to 5 months after pregnancy [2] and in most cases, recovery of left ventricular function occurs within 6 months of its diagnosis. [2],[3] Also, a previous history of subclinical hypothyroidism cannot be ruled out, which might have been precipitated by the peripartum events. The authors also failed to mention the details of antitubercular therapy, which could have altered the course of disease and contributed to drug-induced dilated cardioyopathy.

   References   Top

1. Laway BA, Alai MS, Gojwari T, Ganie MA, Zargar AH. Sheehan syndrome with reversible dilated cardiomyopathy. Ann Saudi Med 2010;30 (4):321-4  Back to cited text no. 1
2. Demakis JG, Rahimtoola SH, Sutton GC, Meadows WR, Szanto PB, Tobin JR, Gunnar RM. Natural course of peripartum cardiomyopathy. Circulation 1971; 44:1053  Back to cited text no. 2
3. Elkayam U, Akhter MW, Singh H, Khan S, Bitar F, Hameed A, Shotan A. Pregnancy-associated cardiomyopathy: clinical characteristics and a comparison between early and late presentation. Circulation 2005; 111:2050  Back to cited text no. 3


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