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.23 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.
Authors: J G Demakis; S H Rahimtoola; G C Sutton; W R Meadows; P B Szanto; J R Tobin; R M Gunnar Journal: Circulation Date: 1971-12 Impact factor: 29.690
Authors: Bashir A Laway; Mohammad S Alai; Tariq Gojwari; Mohd A Ganie; Abdul Hamid Zargar Journal: Ann Saudi Med Date: 2010 Jul-Aug Impact factor: 1.526