Abstract

The concept of dilated cardiomyopathy with concomitant coronary artery disease and hypothyroidism is yet a matter of debate although many theories have been postulated with this regard. We report overt heart failure due to dilated cardiomyopathy in an elderly lady with significant coronary artery disease and hypothyroidism. Early suspicion, evaluation and judicious use of thyroxine with appropriate anti ischaemic measures proved beneficial with a better prognostic outcome in this patient.