DOI: 10.36347/sjmcr.2015.v03i04.012

Pages: 323-325

We report two cases of an acute dilated cardiomyopathy (DCM) with each patient developing acute pulmonary emboli (PE) as a complication of severe right heart failure. This is rarely documented as a complication associated with acute DCM. One patient improved with aggressive heart failure treatment, and one patient died despite diuresis, neurohormonal blockade and inotropic support. Our case highlights the association between acute DCM and PE, particularly those with marked right ventricular involvement. This has prognostic significance and despite conflicting data regarding prophylactic anticoagulation for DCM, our report emphasises individualising the risk versus benefit by such therapeutic decisions in such a vulnerable cohort.