Dilated Cardiomyopathy Presenting with Epigastric Pain, Mild Dyspnea and Rapidly Progressing Multi-Organ Failure
| Author | Muneeba Malik | en |
| Author | Nauman Ismat Butt | en |
| Author | Aimen Zahra | en |
| Author | Tashia Malik | en |
| Author | Subhan Waseem | en |
| Author | Muhammad Tasawwar Amin | en |
| Orcid | Nauman Ismat Butt [0000-0003-1022-0157] | en |
| Issued Date | 2025-12-31 | en |
| Abstract | Introduction: Dilated cardiomyopathy (DCM) is characterized by ventricular dilation and impaired systolic function, defined by a left ventricular ejection fraction (LVEF) below 40%. While it typically presents with heart failure symptoms, atypical or gastrointestinal manifestations could delay diagnosis and treatment. Case Presentation: A 17-year-old previously healthy male presented with a five-day history of epigastric pain, vomiting, mild exertional dyspnea, and palpitations. On admission, he had hypotension (BP 60/20 mmHg), tachycardia (HR 130 bpm), and tachypnea (RR 30/min). Echocardiography revealed global hypokinesia with an LVEF of 25%, consistent with DCM. Laboratory test results showed leukocytosis, renal impairment, conjugated hyperbilirubinemia, coagulopathy, and transudative pleural effusions, indicating multi-organ dysfunction. Infectious, metabolic, and toxic causes were excluded. The patient required triple inotropic support, nine sessions of hemodialysis, and thoracentesis. Conclusions: With multidisciplinary management, he stabilized clinically and biochemically. At the four-week follow-up, echocardiography showed improved LVEF (45%) with complete symptomatic recovery. | en |
| DOI | https://doi.org/10.69107/mca-165907 | en |
| URI | https://brieflands.com/journals/mca/articles/165907 | en |
| Keyword | Cardiomyopathy | en |
| Keyword | Pleural Effusion | en |
| Keyword | Dilated Cardiomyopathy | en |
| Keyword | Dialysis | en |
| Keyword | Left Ventricular Dysfunction | en |
| Keyword | Echocardiography | en |
| Keyword | Multi-Organ Failure | en |
| Publisher | Brieflands | en |
| Title | Dilated Cardiomyopathy Presenting with Epigastric Pain, Mild Dyspnea and Rapidly Progressing Multi-Organ Failure | en |
| Type | Case Report | en |
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