Endometrial cancer-induced angina caseAn atypical presentation of endometrial cancer as angina secondary to critically low hemoglobin and iron deficiency associated pancytopenia: A case report.
High relevance due to direct impact
We explored the intriguing link between iron treatment and angina symptoms in a unique case involving a 46-year-old woman with endometrial cancer. This patient arrived in the emergency department with acute chest pain, yet her heart was healthy based on ECG results. Instead, we found that her chest pain was a result of critically low hemoglobin levels caused by severe iron deficiency anemia.
Over the past six months, the patient experienced prolonged and heavy menstruation, which contributed to her anemia. After administering six units of packed red blood cells and an iron infusion, we witnessed a remarkable turnaround. The chest pain resolved, and her blood counts improved significantly.
This case is particularly noteworthy for highlighting how essential it is for women experiencing chest pain to be evaluated for anemia. It serves as a crucial reminder that understanding a patient's gynecological history can shed light on their overall health and symptoms. The link between iron treatment and relief from chest pain underscores the importance of recognizing the systemic effects of anemia.
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Iron treatment and chest painPainful Left Bundle Branch Block Syndrome Complicated by Iron-Overload Cardiomyopathy.
Explores treatment complexities and outcomes
We examined a unique case involving a 72-year-old Japanese man suffering from painful left bundle branch block (LBBB) syndrome coupled with iron-overload cardiomyopathy. This rare condition manifests as chest pain paired with transient LBBB, yet it occurs without the presence of ischemia—a condition that typically indicates heart problems.
Initially, we performed phlebotomy to reduce the excess iron in the heart muscle, aiming to address both the iron buildup and the conduction issues related to LBBB. Interestingly, we observed a remarkable improvement in the patient's chest pain once the LBBB became persistent and he experienced what is known as the walk-through phenomenon.
This case highlights an important therapeutic approach for managing painful LBBB syndrome that arises from cardiomyopathy. Given the absence of definitive treatment guidelines for this complex issue, a personalized treatment strategy is essential for each individual patient.
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We explored the intriguing connection between iron treatment and chest pain in a patient diagnosed with persistent myocardial ischaemia due to iron-deficiency anaemia. This case involved a 36-year-old man who experienced significant heart issues, including a heart attack, and later suffered ongoing chest pain despite receiving oral iron supplements.
Through careful investigation, we discovered that his profound anaemia and subsequent chest issues were directly tied to undiagnosed coeliac disease. Once he received a proper diagnosis and switched to a strict gluten-free diet alongside continued iron supplementation, we observed a complete turnaround. Remarkably, just two months later, he reported no further chest pain, and his haemoglobin levels returned to normal.
This case highlights how critical it is to consider underlying conditions like coeliac disease when a patient presents with iron-deficiency anaemia. It also demonstrates how effective iron treatment can be when addressing chest pain rooted in such conditions.
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