Complicated Stress-induced Cardiomyopathy and Heart Failure due to Bleeding Myoma

Bleeding associated with uterine leiomyoma is a common complication for many women. Sustained bleeding reduces the oxygen-carrying capacity of hemoglobin. However, a hemoglobin value below 2.0 g/dL due to bleeding is not common. Such a low level compensatively increases sympathetic tone and can lead to stress-induced cardiomyopathy and congestive heart failure. We report a case of severe anemia (1.4 g/dL of hemoglobin) with acute heart failure due to myoma-related bleeding.？