Snježana Jušić, Ivana Živković, Iva Lazinica

DOI: https://www.doi.org/10.64332/ujbb.2.2.3

Abstract
Background: Dilated cardiomyopathy (DCM) is the most common type of cardiomyopathy, usually of multifactorial aetiology, characterised by ventricular dilation and impaired systolic function leading to congestive heart failure.

Aim: To present a case of idiopathic ischemic stroke in a young patient with dilated cardiomyopathy and to emphasise the importance of early recognition and prompt management of neurological complications in heart failure.

Case description: A 36-year-old male was admitted to the Coronary Unit with severe heart failure due to dilated cardiomyopathy (EF 25%) and elevated NT-proBNP levels. Major risk factors included obesity, hypertension, smoking, and dyslipidaemia. On the second day of hospitalisation, the patient developed acute neurological symptoms, and a brain CT confirmed ischemic stroke. Intravenous thrombolytic therapy was administered within the recommended time frame, resulting in complete neurological recovery. Coronary angiography and thrombophilia screening were unremarkable, and the patient was discharged hemodynamically stable on optimal medical therapy.

Conclusion: This case highlights the high morbidity of dilated cardiomyopathy and its potential neurological complications. Early recognition, prompt treatment, and effective risk factor management are essential for better outcomes.

Keywords: heart failure, dilated cardiomyopathy, risk factors