Regional left ventricular dysfunction in a patient with severe prolonged anemia

A 47-year-old woman with severe prolonged anemia developed heart failure. A fter treatment of the heart failure and anemia, she showed regional dysfunc tion of the left ventricular wall and myocardial fatty acid metabolism was disturbed in these sites. Coronary arteriography showed normal images. It t ook about 4 months to recover both left ventricular wall motion and fatty a cid metabolism. Prolonged decrease of oxygen supply to the myocardium, whic h is caused by severe prolonged anemia, seemed to affect the myocardial fun ction in this case, which could be another model of anemia-related myocardi al dysfunction.