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Ann Saudi Med. 2010 Nov-Dec; 30(6): 494.
PMCID: PMC2994175

RE: Sheehan syndrome with reversible dilated cardiomyopaty

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 pregnancy2 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.


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. [PMC free article] [PubMed]
2. Demakis JG, Rahimtoola SH, Sutton GC, Meadows WR, Szanto PB, Tobin JR, Gunnar RM. Natural course of peripartum cardiomyopathy. Circulation. 1971;44:1053. [PubMed]
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. [PubMed]

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