case-presentation_60

The patient is A 40 years old man live in Tehran known case of Idiopathic dilated cardiomyopathy from  5 years ago.  he was stable and treated with Amiodaron. From 6 month ago patient gradually lost his weigh (about 30 kg) and he also felt anxiety. And he gradually developed dyspnea on exertion and orthopnea . He also complained from decreased appetite. Then he admitted to cardiology ward with AF and pulmonary edema .